Strategic surgical-combined orthodontic treatment planning of patient with missing incisors on maxilla: a case report
10.14368/jdras.2019.35.4.244
- Author:
Je Hyeok PARK
1
;
Jin JEON
;
Sen ZHAO
;
Young Mi JEON
;
Jong Ghee KIM
Author Information
1. Department of Orthodontics, Institute of Oral Biosciences and School of Dentistry, Chonbuk National University, Jeonju, Republic of Korea. kjgortho@jbnu.ac.kr
- Publication Type:Case Report
- From:Journal of Dental Rehabilitation and Applied Science
2019;35(4):244-252
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Proper positioning of maxillary incisors is key to success of surgery combined treatment. Establishing surgery plan would be a difficult job if maxillary incisors are lost. Patient who lost all of her maxillary incisors due to accident came for orthodontic treatment. Through careful modification of maxillary archform, pre-surgical orthodontic treatment was conducted with four prosthetic space consolidation. Position of incisors was decided by help of 3D prosthetic set-up, and 1-jaw surgery was planned. After relative short treatment period of 28 months, final prosthesis was done. When alveolar bone loss happens, harmonious prosthesis of upper incisors is difficult. Utilizing mandibular set-back surgery and incisor positioning using 3D set-up could make a better environment for treatment outcome. Strategic pre-surgical orthodontic treatment can allow shorter time and less number of prosthetics.
