Keep it simple: correction of anterior cross bite – an ortho-perio interdisciplinary approach

Abrar Younus A, Nausheer Ahmed, Shreya Shetty K
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Abstract

This case report explores the treatment of a 13-year-old male patient with severe dental crowding and periodontal issues using non-extraction orthodontic treatment combined with a root coverage procedure. The patient presented with a skeletal class 1 base malocclusion, and multiple anterior crossbites, along with a compromised lower central incisor and gingival recession. Despite the option of extraction, the patient declined this approach, and the final goal was to achieve stable class 1 occlusion and an improved smile.The treatment plan utilized pre-adjusted edgewise appliance (MBT 0.022 inch slot), distalization of the canine, inversion of the maxillary right lateral bracket, and the cautious use of open coil spring in the upper and lower anterior segments. After alignment was completed, a root coverage procedure was performed on the lower right central incisor. The treatment lasted for 20 months, and the results showed successful alignment of both arches, canine protected occlusion, and improved periodontal health.Overall, this case report highlights the complex relationship between orthodontic treatment and periodontal health and the importance of careful treatment planning and patient communication to achieve successful and stable results. The non-extraction approach combined with root coverage procedure proved to be an effective treatment option for this patient, leading to an improved occlusion, smile, and periodontal health.
保持简单:矫正前交叉咬合-一种交叉交叉的方法
本病例报告探讨了一名13岁男性患者的治疗严重牙齿拥挤和牙周问题,采用非拔牙正畸治疗结合牙根覆盖程序。患者表现为骨骼1级基牙错颌,多发前牙交叉咬合,并伴有中下切牙受损和牙龈萎缩。尽管可以选择拔除,但患者拒绝了这种方法,最终目标是实现稳定的1级咬合和改善的微笑。治疗方案采用预调整的边缘矫治器(MBT 0.022英寸槽),犬齿离体,上颌右侧托槽内翻,上下前节谨慎使用开圈弹簧。对准完成后,对右下中切牙进行牙根覆盖手术。治疗持续了20个月,结果显示双牙弓成功对齐,犬保护咬合,牙周健康得到改善。总的来说,这个病例报告强调了正畸治疗和牙周健康之间的复杂关系,以及仔细的治疗计划和患者沟通对于取得成功和稳定的结果的重要性。非拔牙结合牙根覆盖治疗是一种有效的治疗方法,可以改善患者的咬合、微笑和牙周健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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