Orthodontic Replacement of Lost Permanent Molar with Neighbor Molar: A Six-Year Follow-Up

Raveli, Taísa Boamorte; Shintcovsk, Ricardo Lima; Knop, Luégya Amorim Henriques; Sampaio, Luana Paz; Raveli, Dirceu Barnabé

doi:10.1155/2017/4206435

Cited by 4 publications

(6 citation statements)

References 12 publications

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“…She also wanted to resolve the residual mandibular spaces of missing 36 and 46 by the same orthodontic treatment. According to some authors [28], the ideal dimensions for the closure of the lower molars' spaces are 6 mm or less for the mesiodistal space and 7 mm for the buccolingual width. In this clinical case, the 36 space was almost closed.…”

Section: Case Discussionmentioning

confidence: 99%

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Orthodontic Management of Residual Spaces of Missing Molars: Decision Factors

Aghoutan¹,

Alami²,

Aouame³

et al. 2020

Human Teeth - Key Skills and Clinical Illustrations

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In the daily practice, the orthodontist may be confronted with particular clinical situations with one or more missing teeth. This can complicate the therapeutic plan and influence the choice of possible extractions imposed by treatment requirements. In case of permanent molar absence, making decision becomes even more delicate. The practitioner must use his/her critical sense and clinical common sense to make the right choice between closing and redeveloping the residual spaces. Its choice must meet the patient's expectations and correct the clinical problem without risking overtreatment, or extending duration care. Several factors guide the therapeutic decision, ranging from the patient's age to economic factors, not to mention the technical complexity, therapeutic predictability, and patient comfort, which determine proper compliance and therefore success. In this chapter, we will focus on these decision-making factors by determining the scientific evidence level in terms of success, survival, and patient-centered outcomes (quality of life and functional efficiency).

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Section: Case Discussionmentioning

confidence: 99%

“…In summary, in case of orthodontic management of molar absence, whether the residual space is closed or maintained, the control of the orthodontic movement including control of anchorage units and vertical forces as well as axial tipping and rotations is crucial to the success of the chosen therapeutic option [28].…”

Section: Case Discussionmentioning

confidence: 99%

Orthodontic Management of Residual Spaces of Missing Molars: Decision Factors

Aghoutan¹,

Alami²,

Aouame³

et al. 2020

Human Teeth - Key Skills and Clinical Illustrations

View full text Add to dashboard Cite

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“…34 Pemilihan gigi untuk ekstraksi tergantung besarnya kekurangan ruangan yang diperlukan, lokasi gigi, serta kesehatan gigi dimana gigi yang mengalami karies lebih menjadi prioritas daripada gigi yang sehat. 35 Penelitian oleh Akinboboye et al 36 , di Nigeria pada dewasa muda, karies gigi dan trauma merupakan yang tertinggi pada usia yang lebih muda dibandingkan usia yang lebih tua. Penelitian ini memperlihatkan bahwa penyebab kehilangan gigi karena trauma merupakan yang tertinggi ketiga setelah karies dan indikasi ortodonti.…”

Section: Metodeunclassified

Pola kehilangan gigi berdasarkan klasifikasi Kennedy serta penyebab utama kehilangan gigi pada rahang atas atau rahang bawah usia dewasa mudaEdentolous patterns according to Kennedy’s classification and the main cause of young adults tooth loss in the maxilla or mandible

Puspitasari

Damayanti²,

Kusumadewi³

2022

J Ked Gi Unpad

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ABSTRAKPendahuluan: Kehilangan gigi sebagian dapat terjadi pada semua kelompok usia termasuk diantaranya usia dewasa muda. Ruang yang ditinggalkan oleh hilangnya gigi membentuk suatu pola dan dapat diklasifikasikan berdasarkan klasifikasi Kennedy. Berbagai penyebab kehilangan gigi dapat terjadi pada kelompok usia dewasa muda. Penelitian ini bertujuan untuk mengetahui pola kehilangan gigi berdasarkan klasifikasi Kennedy serta penyebab utama kehilangan gigi pada rahang atas atau rahang bawah usia dewasa muda. Metode: Penelitian ini adalah penelitian survei deskriptif dengan desain cross-sectional pada mahasiswa Program Studi Sarjana angkatan 2017 sampai 2020 dan Program Studi Profesi angkatan 2019 sampai 2020 Fakultas Kedokteran Gigi Universitas Padjadjaran, yang berusia antara 18 sampai 24 tahun dan berjenis kelamin perempuan atau laki-laki. Teknik pengambilan sampel menggunakan purposive non-random sampling. Sampel dihitung untuk setiap rahang atas atau bawah sehingga didapatkan 87 rahang. Data yang diperoleh melalui pengisian kuesioner berupa google form dan foto intraoral kemudian dianalisis menggunakan program komputer Microsoft Excel 2016. Hasil: Pola kehilangan gigi tertinggi adalah kelas III Kennedy sebesar 65,52%. Kelas III Kennedy menjadi mayoritas pada perempuan sebesar 55,17% dan pada laki-laki sebesar 10,35%. Kelas III Kennedy menjadi mayoritas pada kelompok usia 18 hingga 20 tahun sebesar 25,29% dan kelompok usia 21 hingga 24 tahun sebesar 40,23%. Simpulan: Pola kehilangan gigi berdasarkan klasifikasi Kennedy pada rahang atas atau rahang bawah usia dewasa muda, mayoritas adalah kelas III Kennedy dengan penyebab utama kehilangan gigi adalah karies.Kata kunci: kehilangan gigi sebagian; klasifikasi Kennedy; dewasa muda ABSTRACTIntroduction: Partial edentulous can occur in all age groups, including young adults. The space left by tooth loss forms a pattern and can be classified according to Kennedy’s classification. Various causes of tooth loss can occur in young adults. This study aims to find the patterns of edentulous based on Kennedy’s classification and the leading cause of tooth loss in young adulthood’s upper or lower jaw. Methods: This study was a descriptive survey with a cross-sectional design on undergraduate students from 2017 to 2020 and clinical students from 2019 to 2020 at the Faculty of Dentistry, Padjadjaran University, who were between 18 to 24 years old and were either female or male. The sampling technique used purposive non-random sampling. The sample was calculated for each upper or lower jaw so that 87 jaws were obtained. The data was obtained from the questionnaire in the google form and intraoral photos. The computer program Microsoft Excel 2016 was used for data analysis. Results: The highest pattern of tooth loss was Kennedy’s class III at 65,52%. Kennedy’s class III became the majority in women at 55,17 and 10,35% in men. Kennedy’s class III became the majority in the 18 to 20 age group at 25,29 and 40,23% in the 21 to 24 age group. Conclusion: The majority of tooth loss patterns in young adulthood’s upper lower jaw was Kennedy’s class III, with the leading cause of partial tooth loss being caries.Keywords: partial edentulous; kennedy’s classification; young adult

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“…The treatment choice is closing the space or inserting a dental prosthesis into the space. 7,8 In some cases, replacement of the edentulous area with neighboring teeth has proven to be an excellent treatment outcome. However, moving the neighboring teeth must be performed by bodily movement without any inclination because it could change the vertical dimension.…”

Section: Introductionmentioning

confidence: 99%

“…However, moving the neighboring teeth must be performed by bodily movement without any inclination because it could change the vertical dimension. 8 A missing lower molar is more complex than an upper molar because the mandible has a thick cortical bone and a small trabecular bone, and the roots of the lower molar are wider. 8 Therefore, this case aims to report on the management of bimaxillary protrusion with a missing molar using a T-loop and transpalatal arch (TPA) as the maximum anchorage to correct the profile and couple force to create bodily movement for close spacing of the missing first molar.…”

Section: Introductionmentioning

confidence: 99%

Management of bimaxillary protrusion with missing molar using T-loop and couple force

Narmada¹,

Purnomo²,

Sitasari³

et al. 2023

Dent. J.

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Background: Management of bimaxillary protrusion can be challenging and should be used with maximum anchorage to prevent loss of anchorage and improve the facial profile. In addition, a patient with a missing molar is often found in a dental clinic. Space closure can cause tipping movement rather than bodily, so couple force should be used. Purpose: This case report aims to manage the bimaxillary protrusion with a missing molar using a T-loop and a transpalatal arch (TPA) as maximum anchorage for correction of the facial profile and couple force to create bodily movement for the space closure of a missing first molar. Case: A 21-year-old female patient complained about her protruding teeth. An intraoral examination indicated Angle’s Class I malocclusion on the left molar relation, with the lower-right first molar missing, mild crowding maxilla and mandible, 6 mm of overjet and 5 mm of overbite, and midline shift at the maxilla and mandible. Case Management: The treatment plan was the extraction of teeth 14, 24, 34; alignment with pre-adjusted McLaughlin Bennett Trevisi (MBT) 0.022; retraction of the anterior segment with a T-loop, TPA, and close spacing of the missing first molar with couple force on the buccal and lingual side and tip back. Retention was done with removable retainers. At the end of the treatment, normal incisive inclination and closed space of the missing first molar were achieved, along with an improvement of the facial profile. Conclusion: Bimaxillary protrusion can be successfully treated by means of extraction of the premolar(s), space closure for correction of the profile with T-loop and TPA, and closing the space of the missing molar with couple force on the buccal and lingual sides and tip back.

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Orthodontic Replacement of Lost Permanent Molar with Neighbor Molar: A Six-Year Follow-Up

Cited by 4 publications

References 12 publications

Orthodontic Management of Residual Spaces of Missing Molars: Decision Factors

Orthodontic Management of Residual Spaces of Missing Molars: Decision Factors

Management of bimaxillary protrusion with missing molar using T-loop and couple force

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