Abstract |
This case report describes the successful treatment of a 14-year-old girl with severe bilateral idiopathic condylar resorption and resultant mandibular retrusion, increased overjet, and anterior open bite. The nonextraction treatment plan included (1) aligning and leveling the teeth in both arches, (2) performing Le Fort I maxillary osteotomy, bilateral condylectomy, and mandibular joint replacement, and (3) postsurgical correction of the malocclusion. The orthodontic treatment was initiated with the use of custom lingual appliances followed by orthognathic surgery planned with virtual surgical planning. Patient-fitted and customized temporomandibular joint implants were designed and manufactured based on the patient's stereolithic bone anatomic model. Treatment was concluded with detailed orthodontic finishing. Optimum esthetic and functional results were achieved with the cooperation of 2 specialties and the use of state-of-the-art technology.
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Authors | Jue Wang, Eva Veiszenbacher, Peter D Waite, Chung H Kau |
Journal | American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics
(Am J Orthod Dentofacial Orthop)
Vol. 156
Issue 1
Pg. 125-136
(Jul 2019)
ISSN: 1097-6752 [Electronic] United States |
PMID | 31256825
(Publication Type: Case Reports, Journal Article)
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Copyright | Copyright © 2019 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved. |
Topics |
- Adolescent
- Anatomic Landmarks
- Bone Resorption
(complications, diagnostic imaging, surgery, therapy)
- Braces
- Cephalometry
- Esthetics, Dental
- Female
- Humans
- Imaging, Three-Dimensional
- Joint Prosthesis
- Mandible
(surgery)
- Mandibular Condyle
(diagnostic imaging, surgery)
- Maxilla
(surgery)
- Open Bite
(diagnostic imaging, surgery, therapy)
- Orthodontic Appliances
- Orthodontic Appliances, Fixed
- Orthodontics, Corrective
(instrumentation, methods)
- Orthognathic Surgical Procedures
(methods)
- Osteotomy
- Patient Care Planning
- Radiography, Panoramic
- Temporomandibular Joint
(diagnostic imaging, surgery)
- Temporomandibular Joint Disorders
(complications, diagnostic imaging, surgery, therapy)
- Treatment Outcome
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