Facial and occlusal esthetic improvements of an adult skeletal Class III malocclusion using surgical, orthodontic, and implant treatment
Identifieur interne : 000822 ( Main/Exploration ); précédent : 000821; suivant : 000823Facial and occlusal esthetic improvements of an adult skeletal Class III malocclusion using surgical, orthodontic, and implant treatment
Auteurs : Mauricio De Almeida Cardoso [Brésil] ; Rafael Scaf De Molon [Brésil] ; Erica Dorigatti De Avila [Brésil] ; Fabio Pinto Guedes [Brésil] ; Valter Antonio Ban Battilani Filho [Brésil] ; Leopoldino Capelozza Filho [Brésil] ; Marcio Aurelio Correa [Brésil] ; Hugo Nary Filho [Brésil]Source :
- Korean Journal of Orthodontics [ 2234-7518 ] ; 2016.
Abstract
The aim of this clinical report is to describe the complex treatment of an adult Class III malocclusion patient who was disappointed with the outcome of a previous oral rehabilitation. Interdisciplinary treatment planning was performed with a primary indication for implant removal because of marginal bone loss and gingival recession, followed by orthodontic and surgical procedures to correct the esthetics and skeletal malocclusion. The comprehensive treatment approach included: (1) implant removal in the area of the central incisors; (2) combined orthodontic decompensation with mesial displacement and forced extrusion of the lateral incisors; (3) extraction of the lateral incisors and placement of new implants corresponding to the central incisors, which received provisional crowns; (4) orthognathic surgery for maxillary advancement to improve occlusal and facial relationships; and finally, (5) orthodontic refinement followed by definitive prosthetic rehabilitation of the maxillary central incisors and reshaping of the adjacent teeth. At the three-year follow-up, clinical and radiographic examinations showed successful replacement of the central incisors and improved skeletal and esthetic appearances. Moreover, a Class II molar relationship was obtained with an ideal overbite, overjet, and intercuspation. In conclusion, we report the successful esthetic anterior rehabilitation of a complex case in which interdisciplinary treatment planning improved facial harmony, provided gingival architecture with sufficient width and thickness, and improved smile esthetics, resulting in enhanced patient comfort and satisfaction. This clinical case report might be useful to improve facial esthetics and occlusion in patients with dentoalveolar and skeletal defects.
Url:
DOI: 10.4041/kjod.2016.46.1.42
PubMed: 26877982
PubMed Central: 4751301
Affiliations:
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UNESP, Araraquara, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Univ Estadual Paulista - UNESP, Araraquara, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="De Avila, Erica Dorigatti" sort="De Avila, Erica Dorigatti" uniqKey="De Avila E" first="Erica Dorigatti" last="De Avila">Erica Dorigatti De Avila</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Univ Estadual Paulista - UNESP, Araraquara, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Univ Estadual Paulista - UNESP, Araraquara, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Guedes, Fabio Pinto" sort="Guedes, Fabio Pinto" uniqKey="Guedes F" first="Fabio Pinto" last="Guedes">Fabio Pinto Guedes</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Battilani Filho, Valter Antonio Ban" sort="Battilani Filho, Valter Antonio Ban" uniqKey="Battilani Filho V" first="Valter Antonio Ban" last="Battilani Filho">Valter Antonio Ban Battilani Filho</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Capelozza Filho, Leopoldino" sort="Capelozza Filho, Leopoldino" uniqKey="Capelozza Filho L" first="Leopoldino" last="Capelozza Filho">Leopoldino Capelozza Filho</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Correa, Marcio Aurelio" sort="Correa, Marcio Aurelio" uniqKey="Correa M" first="Marcio Aurelio" last="Correa">Marcio Aurelio Correa</name><affiliation wicri:level="3"><nlm:aff id="A4">Department of Oral Implantology, University of Sagrado Coracao - USC, Bauru, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Oral Implantology, University of Sagrado Coracao - USC, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Nary Filho, Hugo" sort="Nary Filho, Hugo" uniqKey="Nary Filho H" first="Hugo" last="Nary Filho">Hugo Nary Filho</name><affiliation wicri:level="3"><nlm:aff id="A4">Department of Oral Implantology, University of Sagrado Coracao - USC, Bauru, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Oral Implantology, University of Sagrado Coracao - USC, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">Korean Journal of Orthodontics</title><idno type="ISSN">2234-7518</idno><idno type="eISSN">2005-372X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this clinical report is to describe the complex treatment of an adult Class III malocclusion patient who was disappointed with the outcome of a previous oral rehabilitation. Interdisciplinary treatment planning was performed with a primary indication for implant removal because of marginal bone loss and gingival recession, followed by orthodontic and surgical procedures to correct the esthetics and skeletal malocclusion. The comprehensive treatment approach included: (1) implant removal in the area of the central incisors; (2) combined orthodontic decompensation with mesial displacement and forced extrusion of the lateral incisors; (3) extraction of the lateral incisors and placement of new implants corresponding to the central incisors, which received provisional crowns; (4) orthognathic surgery for maxillary advancement to improve occlusal and facial relationships; and finally, (5) orthodontic refinement followed by definitive prosthetic rehabilitation of the maxillary central incisors and reshaping of the adjacent teeth. At the three-year follow-up, clinical and radiographic examinations showed successful replacement of the central incisors and improved skeletal and esthetic appearances. Moreover, a Class II molar relationship was obtained with an ideal overbite, overjet, and intercuspation. In conclusion, we report the successful esthetic anterior rehabilitation of a complex case in which interdisciplinary treatment planning improved facial harmony, provided gingival architecture with sufficient width and thickness, and improved smile esthetics, resulting in enhanced patient comfort and satisfaction. This clinical case report might be useful to improve facial esthetics and occlusion in patients with dentoalveolar and skeletal defects.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="De Molon, Rs" uniqKey="De Molon R">RS de Molon</name></author><author><name sortKey="Avila, Ed" uniqKey="Avila E">ED Avila</name></author><author><name sortKey="Cirelli, Ja" uniqKey="Cirelli J">JA Cirelli</name></author><author><name sortKey="Mollo Jr, Fd" uniqKey="Mollo Jr F">FD Mollo-Jr</name></author><author><name sortKey="Andrade, Mf" uniqKey="Andrade M">MF Andrade</name></author><author><name sortKey="Barros Filho, La" uniqKey="Barros Filho L">LA Barros-Filho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choquet, V" uniqKey="Choquet V">V Choquet</name></author><author><name sortKey="Hermans, M" uniqKey="Hermans M">M Hermans</name></author><author><name sortKey="Adriaenssens, P" uniqKey="Adriaenssens P">P 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uniqKey="Margonar R">R Margonar</name></author><author><name sortKey="Queiroz, Tp" uniqKey="Queiroz T">TP Queiroz</name></author><author><name sortKey="Marcantonio, E" uniqKey="Marcantonio E">É Marcantonio</name></author><author><name sortKey="Luvizuto, Er" uniqKey="Luvizuto E">ER Luvizuto</name></author><author><name sortKey="Faloni, Ap" uniqKey="Faloni A">AP Faloni</name></author><author><name sortKey="Betoni, W" uniqKey="Betoni W">W Betoni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Milinkovic, I" uniqKey="Milinkovic I">I Milinkovic</name></author><author><name sortKey="Cordaro, L" uniqKey="Cordaro L">L Cordaro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Margonar, R" uniqKey="Margonar R">R Margonar</name></author><author><name sortKey="Queiroz, Tp" uniqKey="Queiroz T">TP Queiroz</name></author><author><name sortKey="Luvizuto, Er" uniqKey="Luvizuto E">ER Luvizuto</name></author><author><name sortKey="Santos, Pl" uniqKey="Santos P">PL Santos</name></author><author><name sortKey="Wady, Af" uniqKey="Wady A">AF Wady</name></author><author><name sortKey="Paleari, Ag" uniqKey="Paleari A">AG Paleari</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shiu, Yt" uniqKey="Shiu Y">YT Shiu</name></author><author><name sortKey="Weiss, Ja" uniqKey="Weiss J">JA Weiss</name></author><author><name sortKey="Hoying, Jb" uniqKey="Hoying J">JB Hoying</name></author><author><name sortKey="Iwamoto, Mn" uniqKey="Iwamoto M">MN Iwamoto</name></author><author><name sortKey="Joung, Is" uniqKey="Joung I">IS Joung</name></author><author><name sortKey="Quam, Ct" uniqKey="Quam C">CT Quam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Vila, Ed" uniqKey="De Vila E">ED de Ávila</name></author><author><name sortKey="De Molon, Rs" uniqKey="De Molon R">RS de Molon</name></author><author><name sortKey="Loffredo, Lc" uniqKey="Loffredo L">LC Loffredo</name></author><author><name sortKey="Massucato, Em" uniqKey="Massucato E">EM Massucato</name></author><author><name sortKey="Hochuli Vieira, E" uniqKey="Hochuli Vieira E">E Hochuli-Vieira</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="De Almeida Cardoso, Mauricio" sort="De Almeida Cardoso, Mauricio" uniqKey="De Almeida Cardoso M" first="Mauricio" last="De Almeida Cardoso">Mauricio De Almeida Cardoso</name></region><name sortKey="Battilani Filho, Valter Antonio Ban" sort="Battilani Filho, Valter Antonio Ban" uniqKey="Battilani Filho V" first="Valter Antonio Ban" last="Battilani Filho">Valter Antonio Ban Battilani Filho</name><name sortKey="Capelozza Filho, Leopoldino" sort="Capelozza Filho, Leopoldino" uniqKey="Capelozza Filho L" first="Leopoldino" last="Capelozza Filho">Leopoldino Capelozza Filho</name><name sortKey="Correa, Marcio Aurelio" sort="Correa, Marcio Aurelio" uniqKey="Correa M" first="Marcio Aurelio" last="Correa">Marcio Aurelio Correa</name><name sortKey="De Avila, Erica Dorigatti" sort="De Avila, Erica Dorigatti" uniqKey="De Avila E" first="Erica Dorigatti" last="De Avila">Erica Dorigatti De Avila</name><name sortKey="De Molon, Rafael Scaf" sort="De Molon, Rafael Scaf" uniqKey="De Molon R" first="Rafael Scaf" last="De Molon">Rafael Scaf De Molon</name><name sortKey="Guedes, Fabio Pinto" sort="Guedes, Fabio Pinto" uniqKey="Guedes F" first="Fabio Pinto" last="Guedes">Fabio Pinto Guedes</name><name sortKey="Nary Filho, Hugo" sort="Nary Filho, Hugo" uniqKey="Nary Filho H" first="Hugo" last="Nary Filho">Hugo Nary Filho</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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