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Journal : Academia Open

Treatment of Class III Malocclusion with Open Bite and Macroglossia Using an Anterior Loop Muntadir, Lila
Academia Open Vol 9 No 1 (2024): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.9.2024.9717

Abstract

General Background: Class III malocclusion is a prevalent dental anomaly characterized by the anterior positioning of the mandible relative to the maxilla, posing functional and aesthetic challenges. Specific Background: This condition may present with additional complexities such as dental crowding, open bite, and macroglossia, complicating the orthodontic treatment approach. Knowledge Gap: While conventional treatment modalities include orthognathic surgery and growth modification, there is limited documentation on the efficacy of orthodontic camouflage in non-surgical settings, particularly in adults with completed growth. Aims: This study aims to evaluate the effectiveness of orthodontic camouflage using anterior stainless steel loops in managing dentoskeletal Class III malocclusion accompanied by anterior open bite and macroglossia, without premolar extraction. Results: Over a 7-month treatment period, significant corrections in overjet, overbite, and molar relationship were achieved, demonstrating the potential of this approach as a non-surgical alternative. Novelty: This research introduces a modified technique involving stainless steel wire with specific loop placements, contributing to the orthodontic management strategies for complex Class III cases. Implications: The findings support the broader application of camouflage techniques in orthodontic practice, offering a viable option for patients opting out of surgery and highlight the need for further studies to optimize and validate such approaches.Highlights: Efficiency of Camouflage: Shows how orthodontic camouflage can effectively treat complex Class III malocclusion without surgery. Novel Technique: Introduces a new method using stainless steel loops in wires to enhance treatment outcomes. Clinical Implications: Expands non-surgical treatment options in orthodontics, offering viable alternatives to surgery. Keywords: Class III Malocclusion, Orthodontic Camouflage, Open Bite, Macroglossia
Management of Double Impacted Teeth 22 and 23 Combination of Fixed Orthodontics and Surgical Exposure Muntadir , Lila; Anugraha, Ganendra; Winoto, Ervina Restiwulan; Heriyanto, Eddy; Silviana, Nur Masita
Academia Open Vol 10 No 1 (2025): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.10.2025.11828

Abstract

Background: Double impaction of two teeth in the same region specifically tooth 22 and tooth 23 is a rare condition that requires a combined treatment approach involving fixed orthodontics and surgical exposure. Fixed orthodontic treatment is essential to prepare space, guide tooth movement after surgical exposure, prevent root resorption, and correct overall malocclusion. Surgical exposure is performed to expose the tooth crown, preserve the alveolar bone, avoid root exposure, and facilitate the attachment of buttons and ligatures. Impacted teeth can affect the stomatognathic system, facial growth, and aesthetics. The maxillary incisors and canines play a critical role in occlusion, masticatory function, and facial aesthetics, thus requiring appropriate management. Objective: To describe the management of a double impaction case in the anterior left maxillary region of a 19-year-old female patient using a combined approach of fixed orthodontic and surgical treatment. Methods: The patient underwent fixed orthodontic treatment and sequential extraction of premolars 14 and 24 to create space for the eruption of the impacted teeth and to correct the midline before surgical exposure. Post-surgical exposure, orthodontic treatment was continued to guide both teeth into proper alignment within the dental arch. Results: Teeth 22 and 23 successfully erupted with good occlusion. The patient's masticatory function and facial aesthetics improved over a 2-year period following surgical exposure. Conclusion: Fixed orthodontic treatment combined with surgical exposure is an effective strategy for managing double impaction of anterior teeth in the left maxillary region, considering the position of the crowns, tooth inclination, and root apex morphology of the impacted teeth. Highlights: Double impaction of teeth 22 and 23 is rare and affects function and aesthetics. Combined surgical and orthodontic treatment effectively guided tooth eruption. Treatment restored occlusion, midline, and facial aesthetics over 2 years. Keywords: Anterior tooth double impaction, surgical exposure, fixed orthodontic treatment