Pub Date : 2024-12-01DOI: 10.1053/j.sodo.2023.12.008
Carol Weinstein , Miguel Hirschhaut , Patricia Vergara , Angelica de la Hoz Chois , Carlos Flores-Mir
This narrative review describes the different diagnostic, prognostic, management aspects and complications of the Brodie Bite. A current literature review was completed to identify relevant case reports, case series, and reviews about the Brodie Bite. Brodie Bite cases, fortunately, are not frequent. A checklist for this malocclusion is presented. Additionally, a description of the advantages of an early diagnosis will be discussed to avoid its progression to a more complex clinical scenario. The importance of solving the Brodie Bite before correcting any other simultaneous malocclusion problem is stressed. Emphasis is given on a three-dimensional diagnosis and planning. Different management mechanics are presented - ranging from TADS to fixed and functional appliances. Alternative disocclusion methods are also discussed. It is noted that some cases benefit from a combined surgical orthodontic correction. Finally, periodontal issues and difficulties are addressed.
{"title":"A three-dimensional perspective on Brodie Bite's diagnosis, planning, treatment alternatives, and complications","authors":"Carol Weinstein , Miguel Hirschhaut , Patricia Vergara , Angelica de la Hoz Chois , Carlos Flores-Mir","doi":"10.1053/j.sodo.2023.12.008","DOIUrl":"10.1053/j.sodo.2023.12.008","url":null,"abstract":"<div><div>This narrative review describes the different diagnostic, prognostic, management aspects and complications of the Brodie Bite. A current literature review was completed to identify relevant case reports, case series, and reviews about the Brodie Bite. Brodie Bite cases, fortunately, are not frequent. A checklist for this malocclusion<span> is presented. Additionally, a description of the advantages of an early diagnosis will be discussed to avoid its progression to a more complex clinical scenario. The importance of solving the Brodie Bite before correcting any other simultaneous malocclusion problem is stressed. Emphasis is given on a three-dimensional diagnosis and planning. Different management mechanics are presented - ranging from TADS to fixed and functional appliances<span>. Alternative disocclusion methods are also discussed. It is noted that some cases benefit from a combined surgical orthodontic correction. Finally, periodontal issues and difficulties are addressed.</span></span></div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 538-556"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139070299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1053/j.sodo.2024.05.004
Li-Fang Hsu , Johnny Joung-Lin Liaw , Ib Leth Nielsen , Yi-Jane Chen , Yunn-Jy Chen , Chung-Chen Jane Yao , Jae Hyun Park
Open bite is a multifactorial problem, which is a challenging type of malocclusion for the orthodontist to treat. A careful and detailed diagnosis is important to ensure the correct treatment approach. With the use of temporary skeletal anchorage devices (TSADs), it is now possible in most cases to treat these malocclusions without surgical intervention. Several etiological factors are involved in the development of this malocclusion, including the patient's facial growth pattern, persistent sucking habits, tongue dysfunction, and mouth breathing due to compromised airways. These factors should always be identified early in a patient's life. Treatment strategies have included habit control, tongue crib, and correction of any airway problems, while in the more severe open bite patients, orthognathic surgery was necessary to correct the problem. Now, it can be treated by the intrusion of the posterior teeth using TSADs. This article presents one type of open bite resulting from condylar degeneration. In the past, this problem could have only been corrected with orthognathic surgery. Here, we demonstrate the result of an acquired open bite treated by intruding the posterior teeth with TSADs. In addition, we provide guidelines for selecting those cases that lend themselves to treatment with TSADs and those where combined orthodontic and orthognathic surgical correction is still needed.
{"title":"Management of open bite in patients with temporomandibular joint degeneration","authors":"Li-Fang Hsu , Johnny Joung-Lin Liaw , Ib Leth Nielsen , Yi-Jane Chen , Yunn-Jy Chen , Chung-Chen Jane Yao , Jae Hyun Park","doi":"10.1053/j.sodo.2024.05.004","DOIUrl":"10.1053/j.sodo.2024.05.004","url":null,"abstract":"<div><div>Open bite<span><span> is a multifactorial problem, which is a challenging type of malocclusion for the orthodontist to treat. A careful and detailed diagnosis is important to ensure the correct treatment approach. With the use of temporary skeletal anchorage<span> devices (TSADs), it is now possible in most cases to treat these malocclusions without surgical intervention. Several etiological factors are involved in the development of this malocclusion, including the patient's facial growth pattern, persistent sucking habits, tongue dysfunction, and mouth breathing due to compromised airways. These factors should always be identified early in a patient's life. Treatment strategies have included habit control, tongue crib, and correction of any airway problems, while in the more severe open bite patients, orthognathic surgery was necessary to correct the problem. Now, it can be treated by the intrusion of the </span></span>posterior teeth<span> using TSADs. This article presents one type of open bite resulting from condylar degeneration. In the past, this problem could have only been corrected with orthognathic surgery. Here, we demonstrate the result of an acquired open bite treated by intruding the posterior teeth with TSADs. In addition, we provide guidelines for selecting those cases that lend themselves to treatment with TSADs and those where combined orthodontic and orthognathic surgical correction is still needed.</span></span></div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 712-718"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141508648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1053/j.sodo.2024.05.006
Jung Jin Park , Jin-Young Choi , Ki-Ho Park , Soon-Yong Kwon , Young-Guk Park , Jae Hyun Park
Anterior open bite (AOB) is considered one of the most difficult malocclusions to correct and achieve successful and stable results. Various treatment approaches have been proposed for the treatment of AOB in adults. Intrusion of the entire maxillary dentition is necessary for AOB patients with severe incisor exposure. In previous reports, a labial appliance with temporary anchorage devices (TADs) implanted in various positions has been used to achieve total intrusion of the maxillary dentition. This article describes the design and biomechanics of an anteroposterior lingual retractor (APLR) to attempt retraction of anterior teeth and total intrusion of maxillary dentition after premolar extraction in patients with both lip protrusion and AOB and the functions of each component of APLR is considered. When force is applied between the anterior lever arm of the APLR and a TAD in the midpalatal area, the anterior teeth are intruded and retracted with torque control. Because the direction of the APLR force and the guide bar are not parallel, intrusive force is generated in the posterior teeth. Due to this total intrusion of the maxillary dentition, the mandible is rotated counterclockwise, improving AOB with severe incisor exposure. Various cases are presented in which APLR was applied to AOB patients, and the clinical considerations behind the treatment are explained in detail.
{"title":"Clinical application of a lingual retractor with temporary anchorage devices (TADs) for patients with lip protrusion and anterior open bite","authors":"Jung Jin Park , Jin-Young Choi , Ki-Ho Park , Soon-Yong Kwon , Young-Guk Park , Jae Hyun Park","doi":"10.1053/j.sodo.2024.05.006","DOIUrl":"10.1053/j.sodo.2024.05.006","url":null,"abstract":"<div><div>Anterior open bite (AOB) is considered one of the most difficult malocclusions to correct and achieve successful and stable results. Various treatment approaches have been proposed for the treatment of AOB in adults. Intrusion of the entire maxillary dentition is necessary for AOB patients with severe incisor exposure. In previous reports, a labial appliance with temporary anchorage devices (TADs) implanted in various positions has been used to achieve total intrusion of the maxillary dentition. This article describes the design and biomechanics of an anteroposterior lingual retractor (APLR) to attempt retraction of anterior teeth and total intrusion of maxillary dentition after premolar extraction in patients with both lip protrusion and AOB and the functions of each component of APLR is considered. When force is applied between the anterior lever arm of the APLR and a TAD in the midpalatal area, the anterior teeth are intruded and retracted with torque control. Because the direction of the APLR force and the guide bar are not parallel, intrusive force is generated in the posterior teeth. Due to this total intrusion of the maxillary dentition, the mandible is rotated counterclockwise, improving AOB with severe incisor exposure. Various cases are presented in which APLR was applied to AOB patients, and the clinical considerations behind the treatment are explained in detail.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 623-631"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthodontic re-treatment may be required in cases of sub-optimal treatment outcomes. These outcomes may often be due to appliance-driven treatment plan, inadequate bio-mechanical considerations during treatment or poor operator skills. Common issues include anchorage loss, deepening of bite, incorrect extraction protocols, re-opened extraction spaces and loss of vertical control. To address these problems, traditional orthodontic appliances, skeletal anchorage systems, customized appliances, and clear aligners may offer a ray of hope, provided they are used judiciously. To effectively manage re-treatment techniques, it's important to have a solid understanding of the anatomic limits, biomechanics, and potential side effects. Proper case selection is extremely crucial for overall clinical success in such complex situations. Therefore, establishing guidelines and understanding the biomechanical perspectives of various appliance systems are essential to address these challenges in modern orthodontic practice.
{"title":"Orthodontic re-treatment of class II malocclusion – Strategies for correction of anchorage loss","authors":"Abhisek Ghosh , Gina Theodoridis , Adith Venugopal","doi":"10.1053/j.sodo.2024.09.005","DOIUrl":"10.1053/j.sodo.2024.09.005","url":null,"abstract":"<div><div>Orthodontic re-treatment may be required in cases of sub-optimal treatment outcomes. These outcomes may often be due to appliance-driven treatment plan, inadequate bio-mechanical considerations during treatment or poor operator skills. Common issues include anchorage loss, deepening of bite, incorrect extraction protocols, re-opened extraction spaces and loss of vertical control. To address these problems, traditional orthodontic appliances, skeletal anchorage systems, customized appliances, and clear aligners may offer a ray of hope, provided they are used judiciously. To effectively manage re-treatment techniques, it's important to have a solid understanding of the anatomic limits, biomechanics, and potential side effects<em>.</em> Proper case selection is extremely crucial for overall clinical success in such complex situations. Therefore, establishing guidelines and understanding the biomechanical perspectives of various appliance systems are essential to address these challenges in modern orthodontic practice.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 755-778"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1053/j.sodo.2024.09.002
Ahmet Nejat Erverdi , Yasemin Bahar Acar , Aybüke Ensarioğlu
Introduction
This report aims to present case series to describe a treatment protocol for correction of severe open bite in non-growing patients
Methodology
Patients diagnosed with skeletal open bite malocclusion (overbite range: -3 to -6 mm) were treated using a bonded appliance and skeletal anchorage. Intrusive force was applied between buccal bars of appliance and zygomatic multipurpose implants (MPI). Intrusion was continued until positive overbite occurred. Treatment progressed with conventional fixed orthodontic treatment for alignment and settling. MPIs were retained until the end of treatment for retention of intrusion
Results
Clinically effective open bite correction was achieved by intrusion of maxillary buccal segment and mandibular counterclockwise autorotation
Conclusion
This protocol includes zygomatic anchorage and an appliance that aims triple intrusion effect through combination of orthodontic and physiological forces. Achieving significant maxillary intrusion, controlling mandibular eruption and maximizing mandibular counterclockwise autorotation are the main outcomes of this protocol.
{"title":"Are zygomatic implants an alternative to orthognathic surgery in the treatment of a vertical discrepancy ? A case series to describe an open bite treatment protocol","authors":"Ahmet Nejat Erverdi , Yasemin Bahar Acar , Aybüke Ensarioğlu","doi":"10.1053/j.sodo.2024.09.002","DOIUrl":"10.1053/j.sodo.2024.09.002","url":null,"abstract":"<div><h3>Introduction</h3><div>This report aims to present case series to describe a treatment protocol for correction of severe open bite in non-growing patients</div></div><div><h3>Methodology</h3><div>Patients diagnosed with skeletal open bite malocclusion (overbite range: -3 to -6 mm) were treated using a bonded appliance and skeletal anchorage. Intrusive force was applied between buccal bars of appliance and zygomatic multipurpose implants (MPI). Intrusion was continued until positive overbite occurred. Treatment progressed with conventional fixed orthodontic treatment for alignment and settling. MPIs were retained until the end of treatment for retention of intrusion</div></div><div><h3>Results</h3><div>Clinically effective open bite correction was achieved by intrusion of maxillary buccal segment and mandibular counterclockwise autorotation</div></div><div><h3>Conclusion</h3><div>This protocol includes zygomatic anchorage and an appliance that aims triple intrusion effect through combination of orthodontic and physiological forces. Achieving significant maxillary intrusion, controlling mandibular eruption and maximizing mandibular counterclockwise autorotation are the main outcomes of this protocol.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 742-754"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1053/j.sodo.2024.02.003
Sungsu Heo , Jae Hyun Park , Seung Pil Jung , Sung-Kwon Choi , Jae-Soo Kim , Jong-Moon Chae
Anterior open bite (AOB) with mild-to-moderate skeletal discrepancies can be camouflaged by an orthodontic tooth movement. Conventional methods can improve occlusal relationships and some profile esthetics, but their mechanics may result in detrimental side effects such as a gummy smile, a high-frequency relapse, and an unfavorable facial profile. The emergence of temporary skeletal anchorage devices (TSADs) has facilitated the treatment of skeletal Class II AOB through intrusion of the posterior teeth and autorotation of the mandible, improving facial esthetics while minimizing the side effects. TSADs can also simplify treatment plans and offer a more predictable treatment result. Finite element studies have identified the location of the center of resistance of the dentition, providing a biomechanical basis for understanding 3-dimensional tooth movement patterns using TSADs. Therefore, biomechanical and clinical considerations are essential for correcting Class II AOB using TSADs.
{"title":"Biomechanical and clinical considerations for the correction of Class II anterior open bite","authors":"Sungsu Heo , Jae Hyun Park , Seung Pil Jung , Sung-Kwon Choi , Jae-Soo Kim , Jong-Moon Chae","doi":"10.1053/j.sodo.2024.02.003","DOIUrl":"10.1053/j.sodo.2024.02.003","url":null,"abstract":"<div><div>Anterior open bite<span> (AOB) with mild-to-moderate skeletal discrepancies can be camouflaged by an orthodontic tooth movement<span>. Conventional methods can improve occlusal<span><span> relationships and some profile esthetics, but their mechanics may result in detrimental side effects such as a gummy smile, a high-frequency relapse, and an unfavorable facial profile. The emergence of temporary skeletal anchorage devices (TSADs) has facilitated the treatment of skeletal Class II AOB through intrusion of the </span>posterior teeth<span> and autorotation of the mandible, improving facial esthetics while minimizing the side effects. TSADs can also simplify treatment plans and offer a more predictable treatment result. Finite element studies have identified the location of the center of resistance of the dentition, providing a biomechanical basis for understanding 3-dimensional tooth movement patterns using TSADs. Therefore, biomechanical and clinical considerations are essential for correcting Class II AOB using TSADs.</span></span></span></span></div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 502-513"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140272435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1053/j.sodo.2024.02.006
Helder Baldi Jacob , Rafael Gonçalves Azeredo , Carolina Servidoni Spreafico
Orthodontists prescribe forces to provide tooth movement, and performing it without understanding the fundamentals can put the treatment at risk. To get out of trouble in managing complex cases, orthodontists should understand biomechanics concepts and solutions, as well tooth movement biology. The correct application of the force system impacts the biological tissue responses inducing different responses in a favorable or unfavorable manner. The biomechanical domain prevents round tripping, unnecessary increase in treatment time, and damage to the dentoalveolar tissues. Indubitably, minimizing or preventing unnecessary tooth movement helps to decrease treatment time, which has been associated with root resorption and surrounding tissue damage. In the absence of the correct force system application (forces and moments), orthodontic treatment outcomes become unpredictable. Therefore, the key to success is the correct application of the biomechanics, and clinicians must have biomechanical knowledge and skill in reserve, which will be required when unfortunate surprises strike. If the knowledge is not available, orthodontists limit their success. So, in this article we present some information about the biology of orthodontic tooth movement and rationale biomechanics to prevent orthodontic tooth movement side effects, as well few cases and their biomechanics associated with the treatment.
{"title":"Biomechanical considerations for tooth movement and strategies to avoid undesirable side effects","authors":"Helder Baldi Jacob , Rafael Gonçalves Azeredo , Carolina Servidoni Spreafico","doi":"10.1053/j.sodo.2024.02.006","DOIUrl":"10.1053/j.sodo.2024.02.006","url":null,"abstract":"<div><div><span>Orthodontists prescribe forces to provide tooth movement<span>, and performing it without understanding the fundamentals can put the treatment at risk. To get out of trouble in managing complex cases, orthodontists should understand biomechanics concepts and solutions, as well tooth movement biology. The correct application of the force system impacts the biological tissue responses inducing different responses in a favorable or unfavorable manner. The biomechanical domain prevents round tripping, unnecessary increase in treatment time, and damage to the dentoalveolar tissues. Indubitably, minimizing or preventing unnecessary tooth movement helps to decrease treatment time, which has been associated with root resorption and surrounding tissue damage. In the absence of the correct force system application (forces and moments), </span></span>orthodontic treatment<span> outcomes become unpredictable. Therefore, the key to success is the correct application of the biomechanics, and clinicians must have biomechanical knowledge and skill in reserve, which will be required when unfortunate surprises strike. If the knowledge is not available, orthodontists limit their success. So, in this article we present some information about the biology of orthodontic tooth movement and rationale biomechanics to prevent orthodontic tooth movement side effects, as well few cases and their biomechanics associated with the treatment.</span></div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 557-571"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1053/j.sodo.2024.04.002
Juan Carlos Pérez-Varela , María Dolores Campoy , Miriam López-Vila , Sara Camañes-Gonzalvo , Verónica García-Sanz , Vanessa Paredes-Gallardo
The diagnosis and treatment of class III malocclusion can be challenging due to its complexity, impacting not only the jaws but the entire craniofacial complex. For adult patients with skeletal class III malocclusion, potential treatment options include evaluating orthognathic surgery or using dentoalveolar compensation strategies. The aim of this clinical case review is to present a series of cases involving skeletal class III malocclusion, with or without associated transverse issues, treated through various approaches. Additionally, this review will discuss different biomechanical and biological aspects that should be considered in these procedures.
{"title":"Management of skeletal class III discrepancies using temporary anchorage devices. Clinical cases review and biomechanical considerations","authors":"Juan Carlos Pérez-Varela , María Dolores Campoy , Miriam López-Vila , Sara Camañes-Gonzalvo , Verónica García-Sanz , Vanessa Paredes-Gallardo","doi":"10.1053/j.sodo.2024.04.002","DOIUrl":"10.1053/j.sodo.2024.04.002","url":null,"abstract":"<div><div>The diagnosis and treatment of class III malocclusion can be challenging due to its complexity, impacting not only the jaws but the entire craniofacial complex. For adult patients with skeletal class III malocclusion, potential treatment options include evaluating orthognathic surgery or using dentoalveolar compensation strategies. The aim of this clinical case review is to present a series of cases involving skeletal class III malocclusion, with or without associated transverse issues, treated through various approaches. Additionally, this review will discuss different biomechanical and biological aspects that should be considered in these procedures.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 572-590"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1053/j.sodo.2024.05.011
Ahmet Nejat Erverdi , Yasemin Bahar Acar , Banu Mert
Distraction osteogenesis can be described as a procedure that is based on the principles of physiologic remodeling and indirect fracture healing. In dentoalveolar level, conventional appliances may present some difficulties such as the need for multiple stages of DO to achieve a good occlusion due to distraction on a straight vector; incompetency to reduce the oronasal fistula in cleft patients; and the difficulty in achieving complete hard and soft tissue reconstruction, especially in cases with large alveolar defects.
ArchWise Distraction Appliance (AWDA) have been developed to overcome these limitations and obtain a regenerated bone curvilinear in shape, similar to the original alveolar bone configuration. This article aims to introduce and explain the AWDA method in detail so that every clinician will be able to perform the treatment. The reader can observe the application of the procedure on a variety of cases including cleft lip and palate, trauma, and bone pathology. Possible complications and their solutions are also explained on actual cases.
{"title":"A novel approach in orthodontics: Archwise distraction osteogenesis","authors":"Ahmet Nejat Erverdi , Yasemin Bahar Acar , Banu Mert","doi":"10.1053/j.sodo.2024.05.011","DOIUrl":"10.1053/j.sodo.2024.05.011","url":null,"abstract":"<div><div>Distraction osteogenesis can be described as a procedure that is based on the principles of physiologic remodeling and indirect fracture healing<span>. In dentoalveolar level, conventional appliances may present some difficulties such as the need for multiple stages of DO to achieve a good occlusion due to distraction on a straight vector; incompetency to reduce the oronasal fistula in cleft patients; and the difficulty in achieving complete hard and soft tissue reconstruction, especially in cases with large alveolar defects.</span></div><div><span><span>ArchWise Distraction Appliance (AWDA) have been developed to overcome these limitations and obtain a regenerated bone curvilinear in shape, similar to the original alveolar bone configuration. This article aims to introduce and explain the AWDA method in detail so that every clinician will be able to perform the treatment. The reader can observe the application of the procedure on a variety of cases including </span>cleft lip and palate<span>, trauma, and </span></span>bone pathology. Possible complications and their solutions are also explained on actual cases.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 602-622"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141508650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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