Skeletal anchorage-assisted interdisciplinary full-mouth rehabilitation of mutilated dentition with a canted occlusal plane and insufficient occlusal clearance

Liaw, Johnny Joung-Lin; Park, Jae Hyun; Lu, Chun-I; Chou, T.; Shih, Irene Y.H.

doi:10.1016/j.xaor.2023.05.004

Cited by 2 publications

(3 citation statements)

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“…An interdisciplinary approach is essential for establishing the proper diagnosis and treatment plan for patients having multidisciplinary problems combined with dental problems, 1 periodontal problems, 2,3 missing teeth, 4,5 mutilated dentition, 6–8 smoking, 9,10 temporomandibular joint (TMJ) disease, 11 medical problems, 2,12 and orthodontic malocclusion 1–7 . Multidisciplinary treatment includes restorative, 1,6,13 endodontic, 13 dental implants, 3,4,6,7,14–17 periodontal, 2,3,13,16 prosthetic, 1,3,4,7 oral medicine, 11,18 surgical, 1 orthodontic, 1–7 and medical intervention 2,12 …”

Section: Introductionmentioning

confidence: 99%

“…The loss of natural teeth can lead to changes in the relationship between the remaining teeth, causing pathologic migration such as tilting and drifting of the adjacent teeth and overeruption of the antagonist teeth 16 . This mutilated dentition poses esthetic concerns and affects function and biology 6,7 . In such cases, achieving optimal esthetic and functional outcomes may necessitate an approach involving orthodontic therapy combined with other dental specialties 19 .…”

Section: Introductionmentioning

confidence: 99%

“…Orthodontic microimplant or dental implant anchorage 3,4 and proper biomechanics 3,4,7,15 can be effectively used to correct sagittal, 3,24 vertical, 7,15,25–27 and transverse 28–30 dental and skeletal problems, even in patients with partial or extensive edentulous space. Therefore, an orthodontist should be the main moderator leading the interdisciplinary care team treating such patients 31 …”

Section: Introductionmentioning

confidence: 99%

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Interdisciplinary treatment of mutilated dentition and transverse maxillary deficiency with microimplant‐assisted rapid palatal expansion, microimplants, and dental implants

Lee,

Park,

Chang

et al. 2023

J Esthet Restor Dent

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ObjectiveThis case report demonstrates an interdisciplinary approach to treat a 26‐year‐old male patient with hyperdivergent Class II skeletal pattern, maxillary transverse deficiency, slight anterior open bite, and multiple hopeless teeth with root rests.Clinical ConsiderationsAn interdisciplinary treatment was required for oral hygiene improvement, caries treatment, extraction of residual roots and hopeless teeth, maxillary expansion using microimplant‐assisted rapid palatal expansion, improvement of skeletal and dental relationship using orthodontic microimplants, and prosthetic restorations with the aid of dental implants.ConclusionConsequently, esthetic and functional occlusal rehabilitation was achieved.Clinical SignificanceHyperdivergent Class II facial and skeletal patterns with multiple missing teeth can be effectively treated using orthodontic skeletal anchorage. In young adults, the transverse discrepancy can be resolved using MARPE, which is also useful for improving the sagittal and vertical relationships. In the case of multiple missing teeth, orthodontic treatment can provide the proper space to facilitate dental implants to achieve optimal esthetics and function.

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