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All Journal Majalah Kedokteran Gigi Indonesia Indonesian Journal of Prosthodontics
Halim, Ivan Anthony
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Dentistry

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Interdisciplinary Treatment Approach of Skeletal Class III Malocclusion Patient with Multiple Missing Teeth: A Case Report Halim, Himawan; Halim, Ivan Anthony
Indonesian Journal of Prosthodontic Special Issue 2021
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (29.349 KB) | DOI: 10.46934/ijp.v2i0.49

Abstract

A 30 years old female patient with Class III malocclusion and several missing maxillary anterior and posterior teeth and also mandibular posterior teeth came to the clinic to improve both her esthetic and function. Patient had a unilateral cleft lip and palate. History of combination between poor dental hygiene and dentistry was the cause of the multiple missing teeth. Periodontic, orthodontic, oral maxillofacial surgery and prosthodontics treatments were undertaken in the proper timing and sequence with an interdisciplinary approach. Proper diagnosis and treatment planning were crucial to solve this case. After initial periodontal care was completed, orthodontic treatment was completed to prepare her orthognathic surgery. Space consolidation and occlusion correction were also completed to prepare her for final prosthesis post-surgery. Partial denture were delivered by the prosthodontists. As a result, a stable Class I occlusion with good esthetic and function treatment results were achieved. The case showed that proper diagnosis and treatment planning is very important especially in an interdisciplinary treatment of Class III malocclusion.
Enhancing esthetics from growth modification Halim, Himawan; Halim, Ivan Anthony
Majalah Kedokteran Gigi Indonesia Vol 10, No 1 (2024): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.93907

Abstract

Alteration of maxillary growth, improvement in mandibular growth and position, and change in dental and muscular relationships, especially changing in esthetic profile are the expected results of myofunctional appliances. The use of Bionator appliance is a widely used myofunctional appliance for the management of Class II malocclusion. A normal and healthy Indonesian boy aged 12 years and 2 months old was motivated for treatment for protruded maxillary anterior teeth and retrognathic mandibular. He was introverted and had poor self-esteem despite his normal medical history. He had a Class II Division 1 malocclusion with a 10 mm overjet, normal overbite, with an SNA of 92.89°, SNB of 85.32°, ANB of 7.52°, and a facial angle of 88.11°. He was in mixed dentition stage with all his permanent teeth available and ready to erupt. The patient was treated in two phases: phase I to correct the skeletal discrepancy using Bionator appliance and phase II to correct the tooth discrepancy using fixed appliance. At the end of phase I treatment, or 10 months of wearing Bionator appliance, the patient’s mandible was positioned forward with the ANB angle reduced from 7.56° to 2.30°, and the profile was greatly improved. His molar and canine relationship was Class I. His profile became straight and more favorable. Early treatment using functional appliance therapy can reduce the severity of Class II skeletal pattern and instant change in facial and dental appearance in growing patients.
Co-Authors Himawan Halim