Orthodontic re-treatment of class II malocclusion – Strategies for correction of anchorage loss

IF 2.2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics Pub Date : 2024-12-01 DOI:10.1053/j.sodo.2024.09.005

Abhisek Ghosh , Gina Theodoridis , Adith Venugopal

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引用次数: 0

Abstract

Orthodontic re-treatment may be required in cases of sub-optimal treatment outcomes. These outcomes may often be due to appliance-driven treatment plan, inadequate bio-mechanical considerations during treatment or poor operator skills. Common issues include anchorage loss, deepening of bite, incorrect extraction protocols, re-opened extraction spaces and loss of vertical control. To address these problems, traditional orthodontic appliances, skeletal anchorage systems, customized appliances, and clear aligners may offer a ray of hope, provided they are used judiciously. To effectively manage re-treatment techniques, it's important to have a solid understanding of the anatomic limits, biomechanics, and potential side effects. Proper case selection is extremely crucial for overall clinical success in such complex situations. Therefore, establishing guidelines and understanding the biomechanical perspectives of various appliance systems are essential to address these challenges in modern orthodontic practice.

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ⅱ类错牙合的再治疗-支抗缺失的矫正策略

在治疗效果不理想的情况下，可能需要重新进行正畸治疗。这些结果通常是由于器械驱动的治疗计划，治疗过程中不充分的生物力学考虑或操作人员技能差。常见的问题包括锚固缺失、咬合加深、不正确的拔牙方案、重新打开拔牙空间和失去垂直控制。为了解决这些问题，传统的正畸矫治器、骨骼锚定系统、定制矫治器和透明矫正器可能会带来一线希望，只要它们被明智地使用。为了有效地管理再治疗技术，对解剖学极限、生物力学和潜在副作用有一个深入的了解是很重要的。在这种复杂的情况下，正确的病例选择对于整体临床成功至关重要。因此，建立指南和了解各种矫治器系统的生物力学观点对于解决现代正畸实践中的这些挑战至关重要。

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来源期刊

Seminars in Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.20

自引率

4.80%

发文量

审稿时长

10 days

期刊介绍： Each issue provides up-to-date, state-of-the-art information on a single topic in orthodontics. Readers are kept abreast of the latest innovations, research findings, clinical applications and clinical methods. Collection of the issues will provide invaluable reference material for present and future review.