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An interdisciplinary approach to orthodontic treatment of a mutilated Class III malocclusion with mini-implants, dental implants, and an autotransplant.

Abstract
This case report demonstrates the interdisciplinary treatment of a 24-year-old female. Her skeletal discrepancy, anterior crossbite, mutilated dentition, and midline deviation made it challenging to achieve satisfactory treatment results, especially without major orthognathic surgery. This article thoroughly discusses the decision-making process associated with various treatment alternatives, the biomechanical considerations with temporary skeletal anchorage devices, and the detailed operational process of dental implant restoration and autotransplantation. CLINICAL SIGNIFICANCE: Orthodontic treatment aims to obtain better facial and dental esthetics, achieve functional occlusion, and improve oral health. Treatment of patients with a mutilated dentition requires interdisciplinary teamwork from a group of professionals with various types of expertise. Orthodontists should be the navigator that generates the tooth movement and space redistribution, thus facilitating the subsequent functional rehabilitation under a well-organized occlusal architecture. Autotransplantation offers an economical and biologically-friendly opportunity to replace a missing tooth.
AuthorsJohnny Joung-Lin Liaw, Jae Hyun Park, Chia-Chuan Chang, Shin-Huei Wang, Betty Meng-Yun Tsai
JournalJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] (J Esthet Restor Dent) Vol. 34 Issue 1 Pg. 281-296 (Jan 2022) ISSN: 1708-8240 [Electronic] England
PMID34617363 (Publication Type: Case Reports, Journal Article)
Copyright© 2021 Wiley Periodicals LLC.
Chemical References
  • Dental Implants
Topics
  • Adult
  • Autografts
  • Cephalometry (methods)
  • Dental Implants
  • Female
  • Humans
  • Malocclusion (therapy)
  • Malocclusion, Angle Class III (surgery)
  • Orthodontic Anchorage Procedures
  • Tooth Movement Techniques (methods)
  • Transplantation, Autologous
  • Young Adult

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