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.
It is a viral disease spread due to severe acute respiratory Syndrome Coronavirus virus. The virus has been spread extensively worldwide leading to a worldwide emergency. The strain of the virus is new and not been studied earlier. However the transmission of the virus is quick and immoderate. Efforts to contain the spread of the disease have led to major disruptions forcing regional and in many cases national emergencies and lockdown, leaving only essential services to continue. Human transmission is predominantly through the respiratory track via droplets, respiratory secretions and or direct contact where the virus enters the mucous membrane of the mouth, nose and eyes. Although contact with symptomatic patients is the typical route of transmission, asymptomatic individuals or those within the viral incubation period may also be able to transmit COVID 2019. In many such efforts performing elective tasks including orthodontic treatment are required to be suspended on orders of the central, state and civic and public health regulatory bodies. Due to unpresented nature of this pandemic and the unknown length of time that mandatory suspension of elective treatment may be in effect in different regions, consolidated information and guidelines for the clinical orthodontic management of patients during the COVID-19 pandemic are lacking.
The control of anchorage is essential in orthodontic treatment of adult patients. Complex tooth movements in lingual appliances and aligners require anchorage planning. Mini-screws enable the orthodontists to have good control over tooth movement in all three dimensions, while preserving the patient’s aesthetics. This article describes various clinical cases performed through aligners and lingual appliances by using mini-implants.
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