The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Clinical application of maxillary tissue bone-borne expander and biocreative reverse curve system in the orthodontic retreatment of severe anterior open bite with transverse discrepancy: A case report

  • Choi, Jin-Young (Department of Orthodontics, Graduate School, Kyung Hee University) ;
  • Jin, Bai (Department of Orthodontics, Graduate School, Kyung Hee University) ;
  • Kim, Seong-Hun (Department of Orthodontics, Graduate School, Kyung Hee University)
  • Received : 2022.07.12
  • Accepted : 2022.08.01
  • Published : 2022.09.25
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Abstract

Anterior open bite and transverse discrepancy are often accompanied by hyperdivergent skeletal patterns. In addition, degenerative joint disorders and vertical maxillary excess contribute to an unfavorable convex facial profile with a retruded chin. Correction of this complex three-dimensional problem with orthodontic treatment alone is considered challenging owing to anatomical limitations. Moreover, a history of orthodontic treatment with premolar extraction makes retreatment difficult. This case report illustrates the application of a maxillary tissue bone-borne expander and biocreative reverse curve system in a 23-year-old female patient with a severe anterior open bite and transverse discrepancy who underwent orthodontic treatment with four premolar extractions. By setting the treatment target under precise diagnosis and using appropriate appliances, a satisfactory treatment result could be achieved without orthognathic surgery.

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References

  1. Lopez-Gavito G, Wallen TR, Little RM, Joondeph DR. Anterior open-bite malocclusion: a longitudinal 10-year postretention evaluation of orthodontically treated patients. Am J Orthod 1985;87:175-86. https://doi.org/10.1016/0002-9416(85)90038-7
  2. Suh H, Garnett BS, Mahood K, Mahjoub N, Boyd RL, Oh H. Treatment of anterior open bites using nonextraction clear aligner therapy in adult patients. Korean J Orthod 2022;52:210-9. https://doi.org/10.4041/kjod21.180
  3. Greenlee GM, Huang GJ, Chen SS, Chen J, Koepsell T, Hujoel P. Stability of treatment for anterior openbite malocclusion: a meta-analysis. Am J Orthod Dentofacial Orthop 2011;139:154-69. https://doi.org/10.1016/j.ajodo.2010.10.019
  4. Gonzalez Espinosa D, de Oliveira Moreira PE, da Sousa AS, Flores-Mir C, Normando D. Stability of anterior open bite treatment with molar intrusion using skeletal anchorage: a systematic review and meta-analysis. Prog Orthod 2020;21:35.
  5. Alsafadi AS, Alabdullah MM, Saltaji H, Abdo A, Youssef M. Effect of molar intrusion with temporary anchorage devices in patients with anterior open bite: a systematic review. Prog Orthod 2016;17:9.
  6. Kuroda S, Sakai Y, Tamamura N, Deguchi T, TakanoYamamoto T. Treatment of severe anterior open bite with skeletal anchorage in adults: comparison with orthognathic surgery outcomes. Am J Orthod Dentofacial Orthop 2007;132:599-605. https://doi.org/10.1016/j.ajodo.2005.11.046
  7. Erverdi N, Keles A, Nanda R. The use of skeletal anchorage in open bite treatment: a cephalometric evaluation. Angle Orthod 2004;74:381-90.
  8. Lin L, Ahn HW, Kim SJ, Moon SC, Kim SH, Nelson G. Tooth-borne vs bone-borne rapid maxillary expanders in late adolescence. Angle Orthod 2015;85:253-62. https://doi.org/10.2319/030514-156.1
  9. Seo YJ, Chung KR, Kim SH, Nelson G. Camouflage treatment of skeletal class III malocclusion with asymmetry using a bone-borne rapid maxillary expander. Angle Orthod 2015;85:322-34. https://doi.org/10.2319/031314-189.1
  10. Oh SH, Lee SR, Choi JY, Ahn HW, Kim SH, Nelson G. Geometry of anchoring miniscrew in the lateral palate that support a tissue bone borne maxillary expander affects neighboring root damage. Sci Rep 2021;11:19880.
  11. Elms TN, Buschang PH, Alexander RG. Long-term stability of Class II, Division 1, nonextraction cervical face-bow therapy: II. Cephalometric analysis. Am J Orthod Dentofacial Orthop 1996;109:386-92. https://doi.org/10.1016/S0889-5406(96)70120-8
  12. Roberts WW 3rd, Chacker FM, Burstone CJ. A segmental approach to mandibular molar uprighting. Am J Orthod 1982;81:177-84. https://doi.org/10.1016/0002-9416(82)90051-3
  13. Simon RL. Rationale and practical technique for uprighting mesially inclined molars. J Prosthet Dent 1984;52:256-9. https://doi.org/10.1016/0022-3913(84)90107-0
  14. Capelluto E, Lauweryns I. A simple technique for molar uprighting. J Clin Orthod 1997;31:119-25.
  15. Kim YH. Anterior openbite and its treatment with multiloop edgewise archwire. Angle Orthod 1987;57:290-321.
  16. Motokawa M, Sasamoto T, Kaku M, Kawata T, Matsuda Y, Terao A, et al. Association between root resorption incident to orthodontic treatment and treatment factors. Eur J Orthod 2012;34:350-6. https://doi.org/10.1093/ejo/cjr018
  17. Ahn HW, Noh MK, Chung KR, Kim SH, Nelson G. Strategic molar uprighting using the biocreative reverse-curve technique. J Clin Orthod 2020;54:486-94.
  18. Park JH, Choo H, Choi JY, Chung KR, Kim SH. Evaluation of strategic uprighting of the mandibular molars using an orthodontic miniplate and a nickeltitanium reverse curve arch wire: preliminary cephalometric study. Korean J Orthod 2021;51:179-88. https://doi.org/10.4041/kjod.2021.51.3.179
  19. Choi YJ, Kim DJ, Nam J, Chung CJ, Kim KH. Cephalometric configuration of the occlusal plane in patients with anterior open bite. Am J Orthod Dentofacial Orthop 2016;149:391-400. https://doi.org/10.1016/j.ajodo.2015.08.020
  20. Moon HW, Kim MJ, Ahn HW, Kim SJ, Kim SH, Chung KR, et al. Molar inclination and surrounding alveolar bone change relative to the design of boneborne maxillary expanders: A CBCT study. Angle Orthod 2020;90:13-22. https://doi.org/10.2319/050619-316.1
  21. Park KH, Choi JY, Kim KA, Kim SJ, Chung KR, Kim SH. Critical issues concerning biocreative strategy in contemporary temporary skeletal anchorage device orthodontics: a narrative review. Orthod Craniofac Res 2021;24 Suppl 1:39-47.
  22. Park JH, Choi JY, Kim SH, Kim SJ, Lee KJ, Nelson G. Three-dimensional evaluation of the transfer accuracy of a bracket jig fabricated using computer-aided design and manufacturing to the anterior dentition: an in vitro study. Korean J Orthod 2021;51:375-86. https://doi.org/10.4041/kjod.2021.51.6.375
  23. Kim JW, Choi JY, Kim MJ, Bin X, Kim SH. A conebeam computed tomography study on strategic uprighting of mandibular molars using a biocreative reverse curve system. Korean J Orthod 2022;52:354-61. https://doi.org/10.4041/kjod22.140
  24. Kim KY, Ahn HW, Kim SH, Nelson G. Effects of a new type of clear overlay retainer on occlusal contacts. Korean J Orthod 2017;47:207-12. https://doi.org/10.4041/kjod.2017.47.3.207
  25. Klontz HA. Tweed-Merrifield sequential directional force treatment. Semin Orthod 1996;2:254-67. https://doi.org/10.1016/S1073-8746(96)80025-9
  26. Cho HN, Yoon HJ, Park JH, Park YG, Kim SJ. Effect of extraction treatment on upper airway dimensions in patients with bimaxillary skeletal protrusion relative to their vertical skeletal pattern. Korean J Orthod 2021;51:166-78. https://doi.org/10.4041/kjod.2021.51.3.166
  27. Torres HM, Valladares-Neto J, Torres EM, Freitas RZ, Silva MA. Effect of genioplasty on the pharyngeal airway space following maxillomandibular advancement surgery. J Oral Maxillofac Surg 2017;75:189. e1-189.e12. https://doi.org/10.1016/S0278-2391(17)30595-5
  28. Lim LI, Choo H, Eto LF, Chung KR, Kim SH. BioExercise (BioEx) - a biocreative orofacial myofunctional therapy: preliminary cephalometric study and clinical application. Dental Press J Orthod 2022;27:e2220367.