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Atypical orthodontic extraction pattern managed by differential en-masse retraction against a temporary skeletal anchorage device in the treatment of bimaxillary protrusion.

Authors
Chung, KR; Choo, H; Lee, JH; Kim, SH
Citation
American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 140(3):423-432, 2011
Journal Title
American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics
ISSN
0889-54061097-6752
Abstract
This report introduces an innovative treatment approach of selecting atypical and unconventional teeth for orthodontic extraction without compromising the quality of treatment outcomes by using temporary skeletal anchorage devices in patients with bimaxillary protrusion. Both patients introduced in this report had solid Class I molar relationships with bimaxillary anterior protrusion without facial or dental midline asymmetry. Their chief concerns were significant facial convexity, which conventionally requires the extraction of all 4 first premolars. However, 3 second premolars and 1 first premolar were removed in the first patient, and 2 second premolars and 2 first premolars were removed in the second patient. All second premolars extracted had previously had root canal treatment and large prosthodontic restorations, which resulted in a compromised short lifespan of the teeth relative to the natural dentition. To manage these cases of asymmetric extraction space in a symmetric dental and skeletal environment, 2 mini-implants were placed in the posterior maxillary interradicular spaces, 1 on each side. Despite the unusual asymmetric extraction of teeth, superimposition of the pretreatment and posttreatment cephalometric tracings shows excellent treatment outcomes of facial convexity reduction by asymetric maximum retraction of the anterior teeth with no change in the molar relationships.
MeSH terms
AdultCephalometryDental ImplantsFemaleHumansMalocclusion, Angle Class I/*therapyMiniaturizationOrthodontic Anchorage Procedures/*instrumentationOrthodontics, Corrective/*methodsPeriapical Diseases/surgery*Tooth ExtractionTooth, Nonvital/surgeryYoung Adult
DOI
10.1016/j.ajodo.2009.08.036
PMID
21889088
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Dentistry
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