Figure 21. A dental class I occlusion was established only on the right side (lateral aspect)
Figure 20. The left side could not be restored to an ideal class I relationship from the original class II due to the pontic prosthesis
Figure 19. A full-mouth frontal aspect
Figure 18. OPT after prosthodontic finalization
Figure 17. Implants were used for implant-retained prostheses (abutment-cemented crowns), and a three-unit fixed partial denture pontic (crowns 25–27) was placed
Figure 16. After orthodontic treatment was completed, the prosthodontic phase took place
Figure 15. All implants received immediate healing screws
Figure 14. Implants placement after site preparation
Figure 13. Implant site preparation: OP5, IM2, OT4, and IM3 (correctly in sequence)
Figure 12. The total width flap was sutured
Figure 11. A mesiobuccal root surface exposure of element 16 required bone regeneration through Bio Oss and bone chip application
Figure 10. A triangular-shaped corticotomy was performed with inserts OT7 0.55 mm and OT7 special 0.35 mm to accelerate orthodontic tooth movements
Figure 9. A microsurgical corticotomy was mandatory to assist orthodontic tipping and intrusion of elements 16 and 17
Figure 8. Orthodontic bracket placement: left side view
Figure 7. Ortodontic bracket placement: right side view
Figure 6. Orthodontic bracket placement: frontal view
Figure 5. The panoramic radiography and cephalometric analysis revealed a partially edentulous mandible
Figure 4. The panoramic radiography and cephalometric analysis revealed a partially edentulous mandible
Figure 3. Some metal ceramic crowns in the upper left maxillary arch with a very poor esthetic appearance
Figure 2. Initial lateral intraoral aspect
Figure 1. Initial frontal intraoral aspect
A number of reports have indicated that orthodontic treatment can improve the periodontal situation in patients with pathologic migration by providing good function and improved esthetics after realignment.
It is generally recommended that orthodontic treatment should be preceded by periodontal therapy. In fact, orthodontic treatment when there is an inflammation/periodontal...
Discussion
The management of an anterior deep bite requires adequate treatment planning, especially if the clinical condition is associated with posterior DVO (vertical occlusion dimension) reduction due to multiple missing teeth. A multidisciplinary planning approach, including orthodontics, oral and periodontic surgery, and restorative dentistry, has an important role in t...
This was a preliminary stage before the first surgical corticotomy (performed with a piezo device).
A microsurgical corticotomy was mandatory to assist orthodontic tipping and intrusion of elements 16 and 17. This surgical procedure was performed by a piezo approach (Fig. 9).
A total width flap was elevated to make the cortical subapical and longitudinal bone cut possible. The ...
Case presentation
Diagnosis and etiology
A young female patient was referred to our dental clinic to resolve a malocclusion disorder due to missing teeth. She was unsatisfied with the functional aspect of her dentition. She had a second upper right molar very damaged by caries (17) (Figs. 1 and 2); it was also extruded due to missing antagonist teeth (I and II l...
A piezo surgery with corticotomies and implant placement as part of a multidisciplinary approach to treat malocclusion disorder in an adult patient: clinical report
Abstract
This clinical report illustrates a multidisciplinary approach for the rehabilitation of a young adult patient affected by a bilateral edentulous space and an anterior deep bite. The patient required orthodontics and surgic...