MIDLINE MINI IMPLANT-ASSISTED CORRECTION OF VERTICAL MAXILLARY EXCESS -A CASE REPORT

Hasanath K, Muhammed Raheesh, Muhamed Shaloob, Prachodh C A, Vincy Antony

Abstract


The correction of Vertical maxillary excess is more difcult and challenging than the correction of antero-posterior, or transverse malocclusion.
This article describes the orthodontic treatment of a 24-year-old male patient with increased incisor visibility at rest. He was diagnosed as Angle's
Class I malocclusion on a Class II skeletal base with sagitto-vertical maxillary excess and orthognathic mandible with proclination and crowding of
upper and lower anteriors. Soft tissue parameters revealed convex prole. Fixed appliance treatment was started with four rst premolar extraction
and alignment and levelling, followed by simultaneous intrusion and retraction of the anteriors with the help of midline mini-implant which
resulted in achieving all the treatment objectives. The active treatment period was 18 months. The incisor exposure at rest and upper and lower
proclination were corrected and better facial and smile esthetics was achieved.


Keywords


Midline Mini Implant, gummy smile, Mini Implant Assisted Intrusion,vertical Maxillary Excess.

Full Text:

PDF

References


Burstone CJ.(1977). Deep Overbite Correction by Intrusion. Am J Orthod, 72,1-22.

Kim H, Keum BT, Seo HJ, Park C, Chun JH, Lee KJ. (2022). Rationale of total arch intrusion for gummy smile correction. Semin Orthod, 28, 149-156.

AlMaghlouth, B., AlMubarak, A., Almaghlouth, I., AlKhalifah, R., Alsadah, A., & Hassan, A. (2021). Orthodontic Intrusion Using Temporary Anchorage Devices Compared to Other Orthodontic Intrusion Methods: A Systematic Review. Clinical, cosmetic and investigational dentistry, 13, 11–19.

Robbins J. W. (1999). Differential diagnosis and treatment of excess gingival display. Practical periodontics and aesthetic dentistry : PPAD, 11(2), 265–273.

Redlich, M., Mazor, Z., & Brezniak, N. (1999). Severe high Angle Class II Division 1 malocclusion with vertical maxillary excess and gummy smile: a case report. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 116(3), 317–320.

Hong, R. K., Lim, S. M., Heo, J. M., & Baek, S. H. (2013). Orthodontic treatment of gummy smile by maxillary total intrusion with a midpalatal absolute anchorage system. Korean journal of orthodontics, 43(3), 147–158.

Jain, R. K., Kumar, S. P., & Manjula, W. S. (2014). Comparison of intrusion effects on maxillary incisors among mini implant anchorage, j-hook headgear and utility arch. Journal of clinical and diagnostic research : JCDR, 8(7), ZC21–ZC24..

Umemori, M., Sugawara, J., Mitani, H., Nagasaka, H., & Kawamura, H. (1999). Skeletal anchorage system for open-bite correction. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 115(2), 166–174.

Carrillo, R., Buschang, P. H., Opperman, L. A., Franco, P. F., & Rossouw, P. E. (2007). Segmental intrusion with mini-screw implant anchorage: a radiographic evaluation. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 132(5), 576.e1–576.e5766.

Kanomi R. (1997). Mini-implant for orthodontic anchorage. Journal of clinical orthodontics : JCO, 31(11), 763–767.

Saxena, R., Kumar, P. S., Upadhyay, M., & Naik, V. (2010). A clinical evaluation of orthodontic mini-implants as intraoral anchorage for the intrusion of maxillary anterior teeth. World journal of orthodontics, 11(4), 346–351.

Polat-Ozsoy, O., Arman-Ozcirpici, A., & Veziroglu, F. (2009). Miniscrews for upper incisor intrusion. European journal of orthodontics, 31(4), 412–416.

Parayaruthottam, P., & Antony, V. (2021). Midline Mini-Implant-Assisted True Intrusion of Maxillary Anterior Teeth for Improved Smile Esthetics in Gummy Smile. Contemporary clinical dentistry, 12(3), 332–335.

Shahanamol V P, Antony V, Roshan G.(2021). Orthodontic management of skeletal Class I malocclusion using three mini-implants- A case report. IP Indian J Orthod Dentofacial Res , 7(4), 323-326.


Refbacks

  • There are currently no refbacks.