The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Use of mini-implants to avoid maxillary surgery for Class III mandibular prognathic patient: a long-term post-retention case

  • Suh, Hee-Yeon (Department of Orthodontics, Seoul National University School of Dentistry and Dental Research Institute) ;
  • Lee, Shin-Jae (Department of Orthodontics, Seoul National University School of Dentistry and Dental Research Institute) ;
  • Park, Heung Sik (Private Practice)
  • Received : 2014.10.24
  • Accepted : 2014.11.14
  • Published : 2014.11.25
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Abstract

Because of the potential morbidity and complications associated with surgical procedures, limiting the extent of orthognathic surgery is a desire for many orthodontic patients. An eighteen-year-old woman had a severe Class III malocclusion and required bi-maxillary surgery. By changing the patient's maxillary occlusal plane using orthodontic mini-implants, she was able to avoid the maxillary surgery; requiring only a mandibular setback surgery. To accurately predict the post-surgery outcome, we applied a new soft tissue prediction method. We were able to follow and report the long-term result of her combined orthodontic and orthognathic treatment. The changes to her occlusal plane continue to appear stable over 6 years later.

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References

  1. Lee SJ, Kim TW, Nahm DS. Transverse implications of maxillary premolar extraction in Class III presurgical orthodontic treatment. Am J Orthod Dentofacial Orthop 2006;129:740-8. https://doi.org/10.1016/j.ajodo.2006.02.002
  2. Lee SJ, Lin L, Kim SH, Chung KR, Donatelli RE. Survival analysis of a miniplate and tube device designed to provide skeletal anchorage. Am J Orthod Dentofacial Orthop 2013;144:349-56. https://doi.org/10.1016/j.ajodo.2013.03.026
  3. Lee SJ, Ahn SJ, Lee JW, Kim SH, Kim TW. Survival analysis of orthodontic mini-implants. Am J Orthod Dentofacial Orthop 2010;137:194-9. https://doi.org/10.1016/j.ajodo.2008.03.031
  4. Yao CC, Lee JJ, Chen HY, Chang ZC, Chang HF, Chen YJ. Maxillary molar intrusion with fixed appliances and mini-implant anchorage studied in three dimensions. Angle Orthod 2005;75:754-60.
  5. Park YC, Lee SY, Kim DH, Jee SH. Intrusion of posterior teeth using mini-screw implants. Am J Orthod Dentofacial Orthop 2003;123:690-4. https://doi.org/10.1016/S0889-5406(03)00047-7
  6. Deguchi T, Takano-Yamamoto T, Kanomi R, Hartsfield JK Jr, Roberts WE, Garetto LP. The use of small titanium screws for orthodontic anchorage. J Dent Res 2003;82:377-81. https://doi.org/10.1177/154405910308200510
  7. Choi HJ, Kim TW, Ahn SJ, Lee SJ, Donatelli RE. The relationship between temporomandibular joint disk displacement and mandibular asymmetry in skeletal Class III patients. Angle Orthod 2011;81:624-31. https://doi.org/10.2319/091210-532.1
  8. Jung MH. Age, extraction rate and jaw surgery rate in Korean orthodontic clinics and small dental hospitals. Korean J Orthod 2012;42:80-6. https://doi.org/10.4041/kjod.2012.42.2.80
  9. Yoon KS, Lee HJ, Lee SJ, Donatelli RE. Testing a better method of predicting postsurgery soft tissue response in Class II patients: A prospective study and validity assessment. Angle Orthod 2014. doi:10.2319/052514-370.1. [Epub ahead of print]
  10. Bailey LJ, Cevidanes LH, Proffit WR. Stability and predictability of orthognathic surgery. Am J Orthod Dentofacial Orthop 2004;126:273-7. https://doi.org/10.1016/j.ajodo.2004.06.003
  11. Park YC, Lee HA, Choi NC, Kim DH. Open bite correction by intrusion of posterior teeth with miniscrews. Angle Orthod 2008;78:699-710. https://doi.org/10.2319/0003-3219(2008)078[0699:OBCBIO]2.0.CO;2
  12. Lee SJ, Jang SY, Chun YS, Lim WH. Three-dimensional analysis of tooth movement after intrusion of a supraerupted molar using a mini-implant with partial-fixed orthodontic appliances. Angle Orthod 2013;83:274-9. https://doi.org/10.2319/060912-480.1
  13. Moon SH, Park SH, Lim WH, Chun YS. Palatal bone density in adult subjects: implications for mini-implant placement. Angle Orthod 2010;80:137-44. https://doi.org/10.2319/011909-40.1
  14. Kang S, Lee SJ, Ahn SJ, Heo MS, Kim TW. Bone thickness of the palate for orthodontic mini-implant anchorage in adults. Am J Orthod Dentofacial Orthop 2007;131(4 Suppl):S74-81. https://doi.org/10.1016/j.ajodo.2005.09.029
  15. Lee HJ, Suh HY, Lee YS, Lee SJ, Donatelli RE, Dolce C, et al. A better statistical method of predicting postsurgery soft tissue response in Class II patients. Angle Orthod 2014;84:322-8. https://doi.org/10.2319/050313-338.1
  16. Donatelli RE, Lee SJ. How to report reliability in orthodontic research: Part 2. Am J Orthod Dentofacial Orthop 2013;144:315-8. https://doi.org/10.1016/j.ajodo.2013.03.023
  17. Suh HY, Lee SJ, Lee YS, Donatelli RE, Wheeler TT, Kim SH, et al. A more accurate method of predicting soft tissue changes after mandibular setback surgery. J Oral Maxillofac Surg 2012;70:e553-62. https://doi.org/10.1016/j.joms.2012.06.187
  18. Lee YS, Suh HY, Lee SJ, Donatelli RE. More accurate soft-tissue prediction model for Class III 2-jaw surgeries. Am J Orthod Dentofacial Orthop 2014;146:724-33. https://doi.org/10.1016/j.ajodo.2014.08.010
  19. Jeon H, Lee SJ, Kim TW, Donatelli RE. Three-dimensional analysis of lip and perioral soft tissue changes after debonding of labial brackets. Orthod Craniofac Res 2013;16:65-74. https://doi.org/10.1111/ocr.12006
  20. Han JJ, Yang HJ, Lee SJ, Hwang SJ. Relapse after SSRO for mandibular setback movement in relation to the amount of mandibular setback and intraoperative clockwise rotation of the proximal segment. J Craniomaxillofac Surg 2014;42:811-5. https://doi.org/10.1016/j.jcms.2013.11.018

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