Molar Uprighting: A Considerable and Safe Decision to Avoid Prosthetic Treatment
Identifieur interne : 007267 ( Ncbi/Merge ); précédent : 007266; suivant : 007268Molar Uprighting: A Considerable and Safe Decision to Avoid Prosthetic Treatment
Auteurs : Taísa Boamorte Raveli ; Dirceu Barnabé Raveli ; Kelei Cristina De Mathias Almeida ; Ary Dos Santos PintoSource :
- The Open Dentistry Journal [ 1874-2106 ] ; 2017.
Abstract
Tipped lower molar over edentulous space is very common in orthodontics practice when adults seek treatment. The segmented arch technique features a predictable force system that provides a controlled release of force that can produce light and continuous tooth movement.
A female adult patient, who lost a permanent lower first molar, needed correction of the position of her permanent first molar place. Instead of making space for rehabilitation, it was closed after second molar uprighting and a balanced interdigitation was created without prosthetics. The patient was successfully treated with segmented arch technique using root correction spring activated with geometry VI to promote uprighting of a tipped molar and Niti spring coil to promote space closure.
Segmented arch technique is known to provide predictable light and continuous forces, which is very much indicated in adult treatment. There are several things to consider when orthodontically treating adult patients. Their periodontal conditions might not be ideal, less bone apposition may occur, and side effects of orthodontic tooth movement are expected. Thus, a predictable and controlled orthodontic treatment is needed.
Url:
DOI: 10.2174/1874210601711010466
PubMed: 29114332
PubMed Central: 5646130
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Molar Uprighting: A Considerable and Safe Decision to Avoid Prosthetic Treatment</title><author><name sortKey="Raveli, Taisa Boamorte" sort="Raveli, Taisa Boamorte" uniqKey="Raveli T" first="Taísa Boamorte" last="Raveli">Taísa Boamorte Raveli</name><affiliation><nlm:aff id="aff1">Orthodontics Department, Faculty of Dentistry, São Paulo State University, Avenida Portugal, 887 – CEP 14.801-075 Araraquara-SP Brazil</nlm:aff><wicri:noCountry code="subfield">887 – CEP 14.801-075 Araraquara-SP Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Raveli, Dirceu Barnabe" sort="Raveli, Dirceu Barnabe" uniqKey="Raveli D" first="Dirceu Barnabé" last="Raveli">Dirceu Barnabé Raveli</name><affiliation><nlm:aff id="aff1">Orthodontics Department, Faculty of Dentistry, São Paulo State University, Avenida Portugal, 887 – CEP 14.801-075 Araraquara-SP Brazil</nlm:aff><wicri:noCountry code="subfield">887 – CEP 14.801-075 Araraquara-SP Brazil</wicri:noCountry></affiliation></author><author><name sortKey="De Mathias Almeida, Kelei Cristina" sort="De Mathias Almeida, Kelei Cristina" uniqKey="De Mathias Almeida K" first="Kelei Cristina" last="De Mathias Almeida">Kelei Cristina De Mathias Almeida</name><affiliation><nlm:aff id="aff2">Orthodontics Department, Faculty of Dentistry, São Paulo State University, Rua Humaitá, 1680 – CEP 14.801-903 Araraquara-SP Brazil</nlm:aff><wicri:noCountry code="subfield">1680 – CEP 14.801-903 Araraquara-SP Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Pinto, Ary Dos Santos" sort="Pinto, Ary Dos Santos" uniqKey="Pinto A" first="Ary Dos Santos" last="Pinto">Ary Dos Santos Pinto</name><affiliation><nlm:aff id="aff2">Orthodontics Department, Faculty of Dentistry, São Paulo State University, Rua Humaitá, 1680 – CEP 14.801-903 Araraquara-SP Brazil</nlm:aff><wicri:noCountry code="subfield">1680 – CEP 14.801-903 Araraquara-SP 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Treatment</title><author><name sortKey="Raveli, Taisa Boamorte" sort="Raveli, Taisa Boamorte" uniqKey="Raveli T" first="Taísa Boamorte" last="Raveli">Taísa Boamorte Raveli</name><affiliation><nlm:aff id="aff1">Orthodontics Department, Faculty of Dentistry, São Paulo State University, Avenida Portugal, 887 – CEP 14.801-075 Araraquara-SP Brazil</nlm:aff><wicri:noCountry code="subfield">887 – CEP 14.801-075 Araraquara-SP Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Raveli, Dirceu Barnabe" sort="Raveli, Dirceu Barnabe" uniqKey="Raveli D" first="Dirceu Barnabé" last="Raveli">Dirceu Barnabé Raveli</name><affiliation><nlm:aff id="aff1">Orthodontics Department, Faculty of Dentistry, São Paulo State University, Avenida Portugal, 887 – CEP 14.801-075 Araraquara-SP Brazil</nlm:aff><wicri:noCountry code="subfield">887 – CEP 14.801-075 Araraquara-SP Brazil</wicri:noCountry></affiliation></author><author><name sortKey="De Mathias Almeida, Kelei Cristina" sort="De Mathias Almeida, Kelei Cristina" uniqKey="De Mathias Almeida K" first="Kelei Cristina" last="De Mathias Almeida">Kelei Cristina De Mathias Almeida</name><affiliation><nlm:aff id="aff2">Orthodontics Department, Faculty of Dentistry, São Paulo State University, Rua Humaitá, 1680 – CEP 14.801-903 Araraquara-SP Brazil</nlm:aff><wicri:noCountry code="subfield">1680 – CEP 14.801-903 Araraquara-SP Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Pinto, Ary Dos Santos" sort="Pinto, Ary Dos Santos" uniqKey="Pinto A" first="Ary Dos Santos" last="Pinto">Ary Dos Santos Pinto</name><affiliation><nlm:aff id="aff2">Orthodontics Department, Faculty of Dentistry, São Paulo State University, Rua Humaitá, 1680 – CEP 14.801-903 Araraquara-SP Brazil</nlm:aff><wicri:noCountry code="subfield">1680 – CEP 14.801-903 Araraquara-SP Brazil</wicri:noCountry></affiliation></author></analytic><series><title level="j">The Open Dentistry Journal</title><idno type="eISSN">1874-2106</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background:</title><p>Tipped lower molar over edentulous space is very common in orthodontics practice when adults seek treatment. The segmented arch technique features a predictable force system that provides a controlled release of force that can produce light and continuous tooth movement.</p></sec><sec><title>Case Description:</title><p>A female adult patient, who lost a permanent lower first molar, needed correction of the position of her permanent first molar place. Instead of making space for rehabilitation, it was closed after second molar uprighting and a balanced interdigitation was created without prosthetics. The patient was successfully treated with segmented arch technique using root correction spring activated with geometry VI to promote uprighting of a tipped molar and Niti spring coil to promote space closure.</p></sec><sec><title>Practical Implications:</title><p> Segmented arch technique is known to provide predictable light and continuous forces, which is very much indicated in adult treatment. There are several things to consider when orthodontically treating adult patients. Their periodontal conditions might not be ideal, less bone apposition may occur, and side effects of orthodontic tooth movement are expected. Thus, a predictable and controlled orthodontic treatment is needed.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Viecilli, R F" uniqKey="Viecilli R">R.F. Viecilli</name></author><author><name sortKey="Chen, J" uniqKey="Chen J">J. Chen</name></author><author><name sortKey="Katona, T R" uniqKey="Katona T">T.R. Katona</name></author><author><name sortKey="Roberts, W E" uniqKey="Roberts W">W.E. Roberts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kojima, Y" uniqKey="Kojima Y">Y. Kojima</name></author><author><name sortKey="Mizuno, T" uniqKey="Mizuno T">T. Mizuno</name></author><author><name sortKey="Fukui, H" uniqKey="Fukui H">H. Fukui</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chae, J" uniqKey="Chae J">J. 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Maruo</name></author><author><name sortKey="Guariza Filho, O" uniqKey="Guariza Filho O">O. Guariza Filho</name></author><author><name sortKey="Camargo, E S" uniqKey="Camargo E">E.S. Camargo</name></author><author><name sortKey="Tanaka, O M" uniqKey="Tanaka O">O.M. Tanaka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shellhart, W C" uniqKey="Shellhart W">W.C. Shellhart</name></author><author><name sortKey="Oesterle, L J" uniqKey="Oesterle L">L.J. Oesterle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Janson, M R" uniqKey="Janson M">M.R. Janson</name></author><author><name sortKey="Janson, R R" uniqKey="Janson R">R.R. Janson</name></author><author><name sortKey="Ferreira, P M" uniqKey="Ferreira P">P.M. Ferreira</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sakima, T" uniqKey="Sakima T">T. Sakima</name></author><author><name sortKey="Martins, L P" uniqKey="Martins L">L.P. 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Kuhlberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Caldas, S G" uniqKey="Caldas S">S.G. Caldas</name></author><author><name sortKey="Ribeiro, A A" uniqKey="Ribeiro A">A.A. Ribeiro</name></author><author><name sortKey="Simplicio, H" uniqKey="Simplicio H">H. Simplício</name></author><author><name sortKey="Machado, A W" uniqKey="Machado A">A.W. Machado</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Masella, R S" uniqKey="Masella R">R.S. Masella</name></author><author><name sortKey="Chung, P L" uniqKey="Chung P">P.L. Chung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ong, M M" uniqKey="Ong M">M.M. Ong</name></author><author><name sortKey="Wang, H L" uniqKey="Wang H">H.L. Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lindauer, S J" uniqKey="Lindauer S">S.J. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Open Dent J</journal-id><journal-id journal-id-type="iso-abbrev">Open Dent J</journal-id><journal-id journal-id-type="publisher-id">TODENTJ</journal-id><journal-title-group><journal-title>The Open Dentistry Journal</journal-title></journal-title-group><issn pub-type="epub">1874-2106</issn><publisher><publisher-name>Bentham Open</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">29114332</article-id><article-id pub-id-type="pmc">5646130</article-id><article-id pub-id-type="publisher-id">TODENTJ-11-466</article-id><article-id pub-id-type="doi">10.2174/1874210601711010466</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Molar Uprighting: A Considerable and Safe Decision to Avoid Prosthetic Treatment</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Raveli</surname><given-names>Taísa Boamorte</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Raveli</surname><given-names>Dirceu Barnabé</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>de Mathias Almeida</surname><given-names>Kelei Cristina</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Pinto</surname><given-names>Ary dos Santos</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><aff id="aff1"><label>1</label>Orthodontics Department, Faculty of Dentistry, São Paulo State University, Avenida Portugal, 887 – CEP 14.801-075 Araraquara-SP Brazil</aff><aff id="aff2"><label>2</label>Orthodontics Department, Faculty of Dentistry, São Paulo State University, Rua Humaitá, 1680 – CEP 14.801-903 Araraquara-SP Brazil</aff></contrib-group><author-notes><corresp id="cor1"><label>*</label>Address correspondence to this author at the at UNESP - São Paulo State University, Faculty of Dentistry, Orthodontics Department, Avenida Portugal, 887 – CEP 14.801-075 Araraquara-SP Brazil, Tel: +55 (16)3322-7652; E-mail: <email xlink:href="taisaraveli@yahoo.ca">taisaraveli@yahoo.ca</email></corresp></author-notes><pub-date pub-type="epub"><day>31</day><month>8</month><year>2017</year></pub-date><pub-date pub-type="collection"><year>2017</year></pub-date><volume>11</volume><fpage>466</fpage><lpage>475</lpage><history><date date-type="received"><day>25</day><month>1</month><year>2017</year></date><date date-type="rev-recd"><day>26</day><month>4</month><year>2017</year></date><date date-type="accepted"><day>13</day><month>7</month><year>2017</year></date></history><permissions><copyright-statement>© 2017 Raveli <italic>et al.</italic></copyright-statement><copyright-year>2017</copyright-year><copyright-holder>Bentham Open.</copyright-holder><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/legalcode"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: <uri xlink:type="simple" xlink:href="https://creativecommons.org/licenses/by/4.0/legalcode">https://creativecommons.org/licenses/by/4.0/legalcode</uri>. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><sec><title>Background:</title><p>Tipped lower molar over edentulous space is very common in orthodontics practice when adults seek treatment. The segmented arch technique features a predictable force system that provides a controlled release of force that can produce light and continuous tooth movement.</p></sec><sec><title>Case Description:</title><p>A female adult patient, who lost a permanent lower first molar, needed correction of the position of her permanent first molar place. Instead of making space for rehabilitation, it was closed after second molar uprighting and a balanced interdigitation was created without prosthetics. The patient was successfully treated with segmented arch technique using root correction spring activated with geometry VI to promote uprighting of a tipped molar and Niti spring coil to promote space closure.</p></sec><sec><title>Practical Implications:</title><p> Segmented arch technique is known to provide predictable light and continuous forces, which is very much indicated in adult treatment. There are several things to consider when orthodontically treating adult patients. Their periodontal conditions might not be ideal, less bone apposition may occur, and side effects of orthodontic tooth movement are expected. Thus, a predictable and controlled orthodontic treatment is needed.</p></sec></abstract><kwd-group kwd-group-type="author"><title>Keywords</title><kwd>Molar uprighting</kwd><kwd>Tooth movement</kwd><kwd>Adult. tooth loss</kwd><kwd>Orthodontic appliances</kwd><kwd>Biomechanics</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" position="float"><label>Fig. (1)</label><p>One cantilever force system where the loose end of the cantilever is attached to the stainless steel wire between canine and first bicuspid. This loose end when attached promotes a downward force with 75g of magnitude; while the inserted end will promote an upward force of equal magnitude, promoting molar extrusion as a side effect.
</p><graphic xlink:href="TODENTJ-11-466_F1"></graphic></fig><fig id="F2" position="float"><label>Fig. (2)</label><p>Two cantilevers force system has the first cantilever working as the single cantilever force system, and because there is an extrusion side effect, a second cantilever is placed with the inserted end between bicuspids and the loose end attached to a piece of stainless steel wire at the band. This way, the second one cancels the extrusion caused by the first cantilever.
</p><graphic xlink:href="TODENTJ-11-466_F2"></graphic></fig><fig id="F3" position="float"><label>Fig. (3)</label><p>Root Correction Spring is a simplified system that works in the same way as two cantilevers, but there are two loose ends, one attached to the stainless steel wire between canine and first bicuspid, and the second end inserted at the band. Its activation promotes molar uprighting without extrusion due to the generation of a geometry VI.
</p><graphic xlink:href="TODENTJ-11-466_F3"></graphic></fig><fig id="F4" position="float"><label>Fig. (4)</label><p>Three ways of activating the root correction spring.
</p><graphic xlink:href="TODENTJ-11-466_F4"></graphic></fig><fig id="F5" position="float"><label>Fig. (5)</label><p>Initial intra oral photos (A.right side, B.front view, C.left side, D.upper occlusal view, E.lower occlusal view).</p><graphic xlink:href="TODENTJ-11-466_F5"></graphic></fig><fig id="F6" position="float"><label>Fig. (6)</label><p>Initial panoramic and teleradiography.
</p><graphic xlink:href="TODENTJ-11-466_F6"></graphic></fig><fig id="F7" position="float"><label>Fig. (7)</label><p>After alignment and leveling with 0.019" x 0.025" SS wires on and ready to install root correction spring (7A. right side, 7B. front view, 7C. left side where there is a segmented stainless steel wire from 46 to 35).</p><graphic xlink:href="TODENTJ-11-466_F7"></graphic></fig><fig id="F8" position="float"><label>Fig. (8)</label><p>Root correction spring installed (A), after activation where Geometry VI takes place (B,C and D), and space closure with nitinol spring coil (E).</p><graphic xlink:href="TODENTJ-11-466_F8"></graphic></fig><fig id="F9" position="float"><label>Fig. (9)</label><p>Final Intra oral photos (A. right side, B.front view, C.left side with spaces from missing teeth all closed up and in occlusion, D.occlusal upper view, E. occlusal lower view).
</p><graphic xlink:href="TODENTJ-11-466_F9"></graphic></fig><fig id="F10" position="float"><label>Fig. (10)</label><p>Final panoramic and tele-radiography.
</p><graphic xlink:href="TODENTJ-11-466_F10"></graphic></fig></floats-group></pmc><affiliations><list></list><tree><noCountry><name sortKey="De Mathias Almeida, Kelei Cristina" sort="De Mathias Almeida, Kelei Cristina" uniqKey="De Mathias Almeida K" first="Kelei Cristina" last="De Mathias Almeida">Kelei Cristina De Mathias Almeida</name><name sortKey="Pinto, Ary Dos Santos" sort="Pinto, Ary Dos Santos" uniqKey="Pinto A" first="Ary Dos Santos" last="Pinto">Ary Dos Santos Pinto</name><name sortKey="Raveli, Dirceu Barnabe" sort="Raveli, Dirceu Barnabe" uniqKey="Raveli D" first="Dirceu Barnabé" last="Raveli">Dirceu Barnabé Raveli</name><name sortKey="Raveli, Taisa Boamorte" sort="Raveli, Taisa Boamorte" uniqKey="Raveli T" first="Taísa Boamorte" last="Raveli">Taísa Boamorte Raveli</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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