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Correction of dental Class III with posterior open bite by simple biomechanics using an anterior C-tube miniplate

  • Ahn, Hyo-Won (Department of Orthodontics, School of Dentistry, Kyung Hee University) ;
  • Chung, Kyu-Rhim (Department of Orthodontics, School of Medicine, Ajou University) ;
  • Kang, Suk-Man (Department of Orthodontics, School of Dentistry, Kyung Hee University) ;
  • Lin, Lu (Department of Orthodontics, School of Dentistry, Kyung Hee University) ;
  • Nelson, Gerald (Division of Orthodontics, University of California San Francisco) ;
  • Kim, Seong-Hun (Department of Orthodontics, School of Dentistry, Kyung Hee University)
  • Received : 2012.07.01
  • Accepted : 2012.08.22
  • Published : 2012.10.25

Abstract

In the correction of dental Class III molar relationship in skeletal Class II patients, uprighting of the mandibular posterior segments without opening the mandible is an important treatment objective. In the case reported herein, a C-tube miniplate fixed to the lower labial symphysis and connected with a nickel-titanium reverse-curved archwire provided effective uprighting of the lower molars, without the need of orthodontic appliances on the mandibular anteriors. Using this approach, an appropriate magnitude of force is exerted on the molars while avoiding any negative effect on the mandibular anteriors.

Keywords

References

  1. Kim YS, Cha JY, Yu HS, Hwang CJ. Comparison of mandibular anterior alveolar bone thickness in different facial skeletal types. Korean J Orthod 2010; 40:314-24. https://doi.org/10.4041/kjod.2010.40.5.314
  2. Miyajima K, Iizuka T. Treatment mechanics in Class III open bite malocclusion with Tip Edge technique. Am J Orthod Dentofacial Orthop 1996;110:1-7. https://doi.org/10.1016/S0889-5406(96)70080-X
  3. Lee BR, Kang DK, Son WS, Park SB, Kim SS, Kim YI, et al. The relationship between condyle position, morphology and chin deviation in skeletal Class III patients with facial asymmetry using cone-beam CT. Korean J Orthod 2011;41:87-97. https://doi.org/10.4041/kjod.2011.41.2.87
  4. Kim YH, Han UK, Lim DD, Serraon ML. Stability of anterior openbite correction with multiloop edgewise archwire therapy: A cephalometric follow-up study. Am J Orthod Dentofacial Orthop 2000;118:43-54. https://doi.org/10.1067/mod.2000.104830
  5. Enacar A, Ugur T, Toroglu S. A method for correction of open bite. J Clin Orthod 1996;30:43-8.
  6. Park YC, Lee HA, Choi NC, Kim DH. Open bite correction by intrusion of posterior teeth with miniscrews. Angle Orthod 2008;78:699-710. https://doi.org/10.2319/0003-3219(2008)078[0699:OBCBIO]2.0.CO;2
  7. Moon CH, Lee JS, Lee HS, Choi JH. Non-surgical treatment and retention of open bite in adult patients with orthodontic mini-implants. Korean J Orthod 2009;39:402-19. https://doi.org/10.4041/kjod.2009.39.6.402
  8. Kim MJ, Park SH, Kim HS, Mo SS, Sung SJ, Jang GW, et al. Effects of orthodontic mini-implant position in the dragon helix appliance on tooth displacement and stress distribution: a three-dimensional finite element analysis. Korean J Orthod 2011;41:191-9. https://doi.org/10.4041/kjod.2011.41.3.191
  9. Deguchi T, Kurosaka H, Oikawa H, Kuroda S, Takahashi I, Yamashiro T, et al. Comparison of orthodontic treatment outcomes in adults with skeletal open bite between conventional edgewise treatment and implant-anchored orthodontics. Am J Orthod Dentofacial Orthop 2011;139(4 Suppl):S60-8. https://doi.org/10.1016/j.ajodo.2009.04.029
  10. Kuroda S, Yamada K, Deguchi T, Hashimoto T, Kyung HM, Takano-Yamamoto T. Root proximity is a major factor for screw failure in orthodontic anchorage. Am J Orthod Dentofacial Orthop 2007;131(4 Suppl):S68- 73.
  11. Asscherickx K, Vande Vannet B, Wehrbein H, Sabzevar MM. Success rate of miniscrews relative to their position to adjacent roots. Eur J Orthod 2008;30:330-5. https://doi.org/10.1093/ejo/cjn019
  12. Park J, Cho HJ. Three-dimensional evaluation of interradicular spaces and cortical bone thickness for the placement and initial stability of microimplants in adults. Am J Orthod Dentofacial Orthop 2009;136:e1-12. https://doi.org/10.1016/S0889-5406(09)01169-X
  13. Kim SH, Yoon HG, Choi YS, Hwang EH, Kook YA, Nelson G. Evaluation of interdental space of the maxillary posterior area for orthodontic mini-implants with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2009;135:635-41. https://doi.org/10.1016/j.ajodo.2007.06.013
  14. Chung KR, Kim SH, Kang YG, Nelson G. Orthodontic miniplate with tube as an efficient tool for borderline cases. Am J Orthod Dentofacial Orthop 2011;139:551-62 https://doi.org/10.1016/j.ajodo.2008.08.041
  15. Chang YI, Moon SC. Cephalometric evaluation of the anterior open bite treatment. Am J Orthod Dentofacial Orthop 1999;115:29-38. https://doi.org/10.1016/S0889-5406(99)70313-6
  16. Kim YH. Anterior openbite and its treatment with multiloop edgewise archwire. Angle Orthod 1987;57: 290-321.
  17. Küçükkeleş N, Acar A, Demirkaya AA, Evrenol B, Enacar A. Cephalometric evaluation of open bite treatment with NiTi arch wires and anterior elastics. Am J Orthod Dentofacial Orthop 1999;116:555-62. https://doi.org/10.1016/S0889-5406(99)70189-7
  18. Janson G, Valarelli FP, Beltrão RT, de Freitas MR, Henriques JF. Stability of anterior open-bite extraction and nonextraction treatment in the permanent dentition. Am J Orthod Dentofacial Orthop 2006;129:768-74. https://doi.org/10.1016/j.ajodo.2004.11.031
  19. Korean Association of Orthodontists. Cephalometric norm of Korean adults with normal occlusion. Seoul: Ji-Sung Publishing Co.;1998. p. 589-95.

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