Cases reported "Malocclusion"

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1/24. Aspects of the use of endosseous palatal implants in orthodontic therapy.

    Control of anchorage is one of the fundamental aspects in orthodontics and dentofacial orthopedics. Osseointegrated implants provide such an anchorage in a reliable fashion, as has been demonstrated in orthodontic use of dental implants inserted for prosthetic reasons. More recently, special implants have been introduced that serve as temporary anchorage in orthodontics. One example is the Straumann Orthosystem (Institut Straumann AG, Waldenburg, switzerland), which is inserted in the midsagittal area of the palate. Owing to the reduced bone height available in the palate, only short implants should be considered; surface enlargement by texturing and the achievement of good primary stability are prerequisite for success. The use of a palatal implant provides a continuous stable anchorage for patients with compromised periodontal anchorage potential, as well as in cases in which compliance is not dependable or cases with esthetic considerations in which the use of extraoral anchorage aids or Class II elastics may be problematic. Minimal stress on the patient, combined with maximal anchorage, distinguishes this promising new treatment modality for the orthodontist cooperating with an oral surgeon. The treatment concept is well aligned with the emphasized need for integral treatment in dentistry, especially of the adult patient.
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ranking = 1
keywords = dentistry
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2/24. Restorative dentistry using a multidisciplinary approach.

    Multidisciplinary treatment was essential for this patient to optimally manage the occlusion and missing teeth. When the space distribution was completed, ridge management procedures for pontic site development were accomplished. The final restorative treatment required was actually minimized to a 7-unit fixed partial denture. It was apparent the multidisciplinary treatment was essential to predictably manage this patient by decreasing risk and ensuring a long-term strategy for enhanced patient satisfaction.
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ranking = 4
keywords = dentistry
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3/24. adolescent dentistry: multidisciplinary treatment for the cleft lip/palate patient.

    Congenital labiomaxillary clefts result from the absence or incomplete fusion of the maxillary and medial nasal processes with resultant hard and soft tissue defects. Comprehensive treatment of these defects requires the collaborative efforts of surgeons, orthodontists, restorative clinicians, and laboratory technicians. Precise periodontal and orthodontic treatments must be carefully coordinated with the restorative plan to ensure sufficient space and tissue architecture for the definitive restorations. This article describes the multidisciplinary treatment of a cleft lip/palate patient using conservative fixed and removable restorative options to provide aesthetic restoration.
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ranking = 4
keywords = dentistry
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4/24. Orthodontic intervention in adult patients as an adjunct to prosthetic and restorative dentistry.

    Combined orthodontic-prosthodontic procedures will enhance the results of restorative treatment in adult patients. Restoration of malposed teeth using prostheses alone will fail both esthetically and functionally. rotation, spacing or crowding and tipped teeth will compromise the final restoration if left untreated. Correction of axial inclination will prevent pulp exposure during preparation, as well as improving the periodontal status of the involved teeth. Cooperation between the orthodontist and the prosthodontist will ensure a more favorable final result. Cases treated in this manner are presented, illustrating the orthodontic treatment and the successful end results.
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ranking = 4
keywords = dentistry
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5/24. Form and function in cosmetic dentistry.

    The results of the case presented meet the aesthetic requirement of the patient as well as the biomechanical and functional requirements for long-term comfort, function, and stability. If not for the extra time spent with the patient uncovering the relationship between her occlusion and headaches and gaining her confidence by solving that problem first, we never would have had the opportunity to build a relationship that would allow her to proceed confidently with the cosmetic treatment that she described as the "best darn holiday present ever!"
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ranking = 4
keywords = dentistry
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6/24. Two- and three-dimensional orthodontic imaging using limited cone beam-computed tomography.

    Considerable progress has been made in diagnostic, medical imaging devices such as computed tomography (CT). However, these devices are not used routinely in dentistry and orthodontics because of high cost, large space requirements and the high amount of radiation involved. A device using computed tomography technology has been developed for dental use called a limited cone beam dental compact-CT (3DX). The aim of this article is to demonstrate the usefulness of 3DX imaging for orthodontic diagnosis and treatment planning. We present three cases: (1) one case shows delayed eruption of the upper left second premolar, (2) the second case shows severe impaction of a maxillary second bicuspid; and (3) the third case shows temporomandibular joint disorder (TMD). In the tooth impaction cases, the CT images provided more precise information than conventional radiographic images such as improved observation of the long axis of the tooth, root condition, and overlap with bone. In the TMD case, clear and detailed temporomandibular joint images were observed and pre- and posttreatment condylar positions were easily compared. We conclude that 3DX images provide useful information for orthodontic diagnosis and treatment planning.
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ranking = 1
keywords = dentistry
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7/24. Enhancing facial appearance with aesthetic dentistry, centric relation, and proper occlusal management.

    Dramatic alterations that affect a person's appearance can be accomplished by changing the shade, shape, and location of individual teeth in the dental arch. With further application of scientifically documented anatomic principles, dentists can change a person's facial appearance without using unnatural tooth shapes and/or creating nonphysiologic changes in the masticatory system. What is most important is that the clinician does not have to open a patient's vertical dimension of occlusion (VDO) to exact a change in facial aesthetics. A conservative approach that is harmonious with the natural human form can be successfully accomplished. learning Objectives: This article presents a conservative methodology towards enhancing a patient's facial appearance in order to fulfill their aesthetic objectives. Upon reading this article, the reader should: Realize how a basic understanding of both the anatomy of the temporomandibular joint (TMJ) and how it interacts with the dentition can help provide a beneficial and stable occlusion for aesthetic dentistry. Understand how the VDO is established and how to decide when and if an increase of VDO is necessary for treatment.
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ranking = 5
keywords = dentistry
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8/24. Interdisciplinary cooperation exemplified by two complex cases of enamel erosion.

    OBJECTIVE: students of the Frankfurt am Main University Hospital participate in an interdisciplinary instructional unit in which they are presented with complex interdisciplinary findings and previous diagnostic records that are discussed in the patient's presence. We have recently observed a growing number of patients presenting defects of dental hard tissue in the form of erosions, defined as a loss of dental hard tissue due to the frequent and direct effect of acids not involving micro-organisms. These patients also presented marked malocclusions. For the most part, the diagnoses involve operative dentistry, dental prosthetics, orthodontics, oral, maxillofacial and plastic surgery. The clinicians discuss causes and therapeutic alternatives, at which point the therapeutic course is determined in consultation with the patient. CASE HISTORIES: We present herein two exemplary cases complex in etiology, as well as in treatment planning and realization. The case descriptions illustrate the importance of interdisciplinary agreement and cooperation in difficult courses of therapy, illustrating that, in the interest of the patient, it makes sense to establish interdisciplinary networks.
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ranking = 1
keywords = dentistry
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9/24. Thielemann's diagonal law of occlusion revisited.

    Thielemann's studies of malocclusal relationships and the frequently observed chain reactions created in distant localities led to the formulation of a philosophical approach to occlusion that is also of practical premeditative clinical relevance for the practitioner. Dr. Thielemann presumed to name it a law, and repeated clinical observations apparently support and reinforce his claim. All disciplines of dentistry inevitably encounter and need to know about this aspect of fission-reactive involvement with the common and seemingly innocuous malocclusions. By incorporating the law into the diagnostic, planning, corrective, and therapeutic stages of treatment, the clinician can readily categorize patients for needs assessments and future goals in treatment.
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ranking = 1
keywords = dentistry
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10/24. Sucking habits: clinical management in dentistry.

    Excellent results were obtained by using the classical palatal crib for the patient, who is appraised as having morphological, functional and psychological changes resulting from finger and/or pacifier sucking habits.
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ranking = 4
keywords = dentistry
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