Maxillary protraction and vertical control utilizing skeletal anchorage for midfacial-maxillary deficiency
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Dental Press Journal of Orthodontics |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512021000600304 |
Resumo: | ABSTRACT Introduction: The efficacy and efficiency of early treatment of skeletal Class III patients with facemask therapy are well-documented; however, very few cases for adolescents or adults were reported. Objective: The aim of this case report was to demonstrate skeletal and dental correction of a post-pubertal-growth-spurt patient whose malocclusion consisted of a skeletal Class III with slight transverse deficiency, a high mandibular plane angle, and a retrusive maxillary complex. Case report: A 13-year-5-months old Hispanic female was diagnosed as a retrognathic maxilla and mandible, a high mandibular plane angle, open bite pattern, a bilateral Angle Class I molar relationship with an anterior crossbite on the maxillary lateral incisors. A TAD-supported Haas rapid palatal expander was utilized for maxillary protraction combined with a facemask, vertical control, and maxillary molar distalization with fixed appliance. Results: The total treatment time was 26 months. An improved facial profile with maxillary lip support and more prominent cheeks was established. Adequate vertical control prevented a change in the mandibular plane angle even though facemask treatment can increase the vertical dimension. After the 18-month retention, excellent stability of the treatment results was shown. Conclusion: With skeletal anchorage and facemask treatment, orthodontists have the ability of expanding and protracting the maxilla without tipping maxillary molars buccally and without the risk of unfavorable periodontal consequences. A TAD-supported Haas rapid palatal expander allowed to control the vertical dimension and distalize molars, while minimizing undesired consequences. |
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Maxillary protraction and vertical control utilizing skeletal anchorage for midfacial-maxillary deficiencyTADsPalatal expanderFacemaskClass III correctionSkeletal anchorageABSTRACT Introduction: The efficacy and efficiency of early treatment of skeletal Class III patients with facemask therapy are well-documented; however, very few cases for adolescents or adults were reported. Objective: The aim of this case report was to demonstrate skeletal and dental correction of a post-pubertal-growth-spurt patient whose malocclusion consisted of a skeletal Class III with slight transverse deficiency, a high mandibular plane angle, and a retrusive maxillary complex. Case report: A 13-year-5-months old Hispanic female was diagnosed as a retrognathic maxilla and mandible, a high mandibular plane angle, open bite pattern, a bilateral Angle Class I molar relationship with an anterior crossbite on the maxillary lateral incisors. A TAD-supported Haas rapid palatal expander was utilized for maxillary protraction combined with a facemask, vertical control, and maxillary molar distalization with fixed appliance. Results: The total treatment time was 26 months. An improved facial profile with maxillary lip support and more prominent cheeks was established. Adequate vertical control prevented a change in the mandibular plane angle even though facemask treatment can increase the vertical dimension. After the 18-month retention, excellent stability of the treatment results was shown. Conclusion: With skeletal anchorage and facemask treatment, orthodontists have the ability of expanding and protracting the maxilla without tipping maxillary molars buccally and without the risk of unfavorable periodontal consequences. A TAD-supported Haas rapid palatal expander allowed to control the vertical dimension and distalize molars, while minimizing undesired consequences.Dental Press International2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512021000600304Dental Press Journal of Orthodontics v.26 n.6 2021reponame:Dental Press Journal of Orthodonticsinstname:Dental Press International (DPI)instacron:DPI10.1590/2177-6709.26.6.e2120114.oarinfo:eu-repo/semantics/openAccessMATSUMOTO,KensukeTANNA,Nipuleng2021-12-13T00:00:00Zoai:scielo:S2176-94512021000600304Revistahttp://www.scielo.br/dpjoONGhttps://old.scielo.br/oai/scielo-oai.phpartigos@dentalpress.com.br||davidnormando@hotmail.com2177-67092176-9451opendoar:2021-12-13T00:00Dental Press Journal of Orthodontics - Dental Press International (DPI)false |
dc.title.none.fl_str_mv |
Maxillary protraction and vertical control utilizing skeletal anchorage for midfacial-maxillary deficiency |
title |
Maxillary protraction and vertical control utilizing skeletal anchorage for midfacial-maxillary deficiency |
spellingShingle |
Maxillary protraction and vertical control utilizing skeletal anchorage for midfacial-maxillary deficiency MATSUMOTO,Kensuke TADs Palatal expander Facemask Class III correction Skeletal anchorage |
title_short |
Maxillary protraction and vertical control utilizing skeletal anchorage for midfacial-maxillary deficiency |
title_full |
Maxillary protraction and vertical control utilizing skeletal anchorage for midfacial-maxillary deficiency |
title_fullStr |
Maxillary protraction and vertical control utilizing skeletal anchorage for midfacial-maxillary deficiency |
title_full_unstemmed |
Maxillary protraction and vertical control utilizing skeletal anchorage for midfacial-maxillary deficiency |
title_sort |
Maxillary protraction and vertical control utilizing skeletal anchorage for midfacial-maxillary deficiency |
author |
MATSUMOTO,Kensuke |
author_facet |
MATSUMOTO,Kensuke TANNA,Nipul |
author_role |
author |
author2 |
TANNA,Nipul |
author2_role |
author |
dc.contributor.author.fl_str_mv |
MATSUMOTO,Kensuke TANNA,Nipul |
dc.subject.por.fl_str_mv |
TADs Palatal expander Facemask Class III correction Skeletal anchorage |
topic |
TADs Palatal expander Facemask Class III correction Skeletal anchorage |
description |
ABSTRACT Introduction: The efficacy and efficiency of early treatment of skeletal Class III patients with facemask therapy are well-documented; however, very few cases for adolescents or adults were reported. Objective: The aim of this case report was to demonstrate skeletal and dental correction of a post-pubertal-growth-spurt patient whose malocclusion consisted of a skeletal Class III with slight transverse deficiency, a high mandibular plane angle, and a retrusive maxillary complex. Case report: A 13-year-5-months old Hispanic female was diagnosed as a retrognathic maxilla and mandible, a high mandibular plane angle, open bite pattern, a bilateral Angle Class I molar relationship with an anterior crossbite on the maxillary lateral incisors. A TAD-supported Haas rapid palatal expander was utilized for maxillary protraction combined with a facemask, vertical control, and maxillary molar distalization with fixed appliance. Results: The total treatment time was 26 months. An improved facial profile with maxillary lip support and more prominent cheeks was established. Adequate vertical control prevented a change in the mandibular plane angle even though facemask treatment can increase the vertical dimension. After the 18-month retention, excellent stability of the treatment results was shown. Conclusion: With skeletal anchorage and facemask treatment, orthodontists have the ability of expanding and protracting the maxilla without tipping maxillary molars buccally and without the risk of unfavorable periodontal consequences. A TAD-supported Haas rapid palatal expander allowed to control the vertical dimension and distalize molars, while minimizing undesired consequences. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512021000600304 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512021000600304 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2177-6709.26.6.e2120114.oar |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Dental Press International |
publisher.none.fl_str_mv |
Dental Press International |
dc.source.none.fl_str_mv |
Dental Press Journal of Orthodontics v.26 n.6 2021 reponame:Dental Press Journal of Orthodontics instname:Dental Press International (DPI) instacron:DPI |
instname_str |
Dental Press International (DPI) |
instacron_str |
DPI |
institution |
DPI |
reponame_str |
Dental Press Journal of Orthodontics |
collection |
Dental Press Journal of Orthodontics |
repository.name.fl_str_mv |
Dental Press Journal of Orthodontics - Dental Press International (DPI) |
repository.mail.fl_str_mv |
artigos@dentalpress.com.br||davidnormando@hotmail.com |
_version_ |
1754122398984044544 |