Overjet problems at the growing child, case report using the twin block appliance

Abstract

Objective: Using a twin block appliance to treat overjet problem in growing child. Methods: Twin-block consists of maxilla and mandible blocks bite with retention 0.7 mm adams clasped on permanent first molars and 0.9 mm balls clasped placed on maxillary and mandibular incisors embrasures. Passive maxillary bow labial used for anterior retention and control the incisors proclination. Lateral expansion of maxillary arch was achieved by expansion screw-controlled once a week. The patient was instructed to use appliance for 24 hours a day, wear and remove the maxillary and mandibular twin-block by himself, activate the screw expansion twice a week and followed up every three weeks. The patient was also instructed to oral hygiene maintenance especially around the covered acrylic plate region. Results: Patient's profile shapes was improved after 7 months treatment. Crowding mandible reduced by proclination of mandibular incisor, normal occlusion with optimum overbite as well as overjet could be achieved. Conclusions: Twin block appliances was successfully treat the overjet problem in this patient.Keywords: Overjet, Growing child, Children malocclusion, Twin Block. Cite this Article: Achmad MH. 2017. Overjet problems at the growing child, case report using the twin block appliance. Journal of Dentomaxillofacial Science 2(1): 49-53. DOI: 10.15562/jdmfs.v2i1.454 Overjet problems at the growing child, case report using the twin block appliance Muhammad H. Achmad * Abstract Introduction

Orofacial Myofunctional Therapy Effectivity in Child's Anterior Open Bite

“…In fact, the development of orthodontic in children, especially in preventive orthodontics and interception has been in line with government programs in the dental and oral health services in a tiered and integrated manner; however, its implemetation is still a complex problem, [4][5][6] The current orthodontic care system has delivered satisfactory results, but there are still difficult cases that are proven to be treated. There are still some bad habits that accompany myofunctional in a child, such as finger sucking, posture problems and tongue placement when swallowing, and abnormal breathing patterns [7] included in the treatment of anterior open bite in children.…”