Treatment of Open Bite Based on Skeletal Anchorage Using Extrusion Lever Arms and Class III Elastics

A 26-year-old woman had a masticatory dysfunction, straight profile, retrognathic maxilla and mandible, and Angle’s class I with a tendency to class III malocclusion on both sides, with bilateral posterior crossbites and a 4 mm anterior open bite. Orthognathic surgery and orthodontic camouflage with...

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Main Authors: Miodrag Popov, Nemanja Marinkovic, Ivan Arsic, Predrag Janosevic, Nenad Nedeljkovic
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2024/7768109
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author Miodrag Popov
Nemanja Marinkovic
Ivan Arsic
Predrag Janosevic
Nenad Nedeljkovic
author_facet Miodrag Popov
Nemanja Marinkovic
Ivan Arsic
Predrag Janosevic
Nenad Nedeljkovic
author_sort Miodrag Popov
collection DOAJ
description A 26-year-old woman had a masticatory dysfunction, straight profile, retrognathic maxilla and mandible, and Angle’s class I with a tendency to class III malocclusion on both sides, with bilateral posterior crossbites and a 4 mm anterior open bite. Orthognathic surgery and orthodontic camouflage with and without tooth extraction were considered as treatment options. The patient’s preferred method of treatment was orthodontic camouflage without extraction. The transpalatal arch had been placed for the bilateral molars’ derotation. After 3 months, the upper segmented fixed appliance was implanted to address the posterior crossbites in the premolar’s region. One mini-implant was inserted into the anterior palatum after the transpalatal arch was removed, and a supporting device was attached to the first permanent molars to give indirect skeletal stability. Orthodontic treatment’s active phase lasted 23 months, and all treatment objectives were achieved during that time: the desired facial profile, adequate occlusion, appropriate overbite, and overjet.
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spelling doaj-art-6a4254710bc14a7d8e2b51114f8f87492025-08-20T02:06:04ZengWileyCase Reports in Dentistry2090-64552024-01-01202410.1155/2024/7768109Treatment of Open Bite Based on Skeletal Anchorage Using Extrusion Lever Arms and Class III ElasticsMiodrag Popov0Nemanja Marinkovic1Ivan Arsic2Predrag Janosevic3Nenad Nedeljkovic4Clinic for OrthodonticsClinic for OrthodonticsClinic for OrthodonticsClinic for Dental MedicineClinic for OrthodonticsA 26-year-old woman had a masticatory dysfunction, straight profile, retrognathic maxilla and mandible, and Angle’s class I with a tendency to class III malocclusion on both sides, with bilateral posterior crossbites and a 4 mm anterior open bite. Orthognathic surgery and orthodontic camouflage with and without tooth extraction were considered as treatment options. The patient’s preferred method of treatment was orthodontic camouflage without extraction. The transpalatal arch had been placed for the bilateral molars’ derotation. After 3 months, the upper segmented fixed appliance was implanted to address the posterior crossbites in the premolar’s region. One mini-implant was inserted into the anterior palatum after the transpalatal arch was removed, and a supporting device was attached to the first permanent molars to give indirect skeletal stability. Orthodontic treatment’s active phase lasted 23 months, and all treatment objectives were achieved during that time: the desired facial profile, adequate occlusion, appropriate overbite, and overjet.http://dx.doi.org/10.1155/2024/7768109
spellingShingle Miodrag Popov
Nemanja Marinkovic
Ivan Arsic
Predrag Janosevic
Nenad Nedeljkovic
Treatment of Open Bite Based on Skeletal Anchorage Using Extrusion Lever Arms and Class III Elastics
Case Reports in Dentistry
title Treatment of Open Bite Based on Skeletal Anchorage Using Extrusion Lever Arms and Class III Elastics
title_full Treatment of Open Bite Based on Skeletal Anchorage Using Extrusion Lever Arms and Class III Elastics
title_fullStr Treatment of Open Bite Based on Skeletal Anchorage Using Extrusion Lever Arms and Class III Elastics
title_full_unstemmed Treatment of Open Bite Based on Skeletal Anchorage Using Extrusion Lever Arms and Class III Elastics
title_short Treatment of Open Bite Based on Skeletal Anchorage Using Extrusion Lever Arms and Class III Elastics
title_sort treatment of open bite based on skeletal anchorage using extrusion lever arms and class iii elastics
url http://dx.doi.org/10.1155/2024/7768109
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