This article describes our treatment of Class II, division 2 adult patients requiring premolar extractions. Division 2 cases are often characterized by severe deep bites, lingually inclined upper central and lower incisors, and labially flared maxillary lateral incisors. This patients also tend to exhibit problems with the upper and lower occlusal planes, such as deep curves of Spee, High lip line, marked labiomental depression. Because of the deep bite and supra eruption of the maxillary incisors, the gingival margins of the maxillary anterior teeth are malaligned, and the lingually inclined mandibular incisors have excessively high gingival margins ( Fig. 1 ). The treatment protocol for this patients includes extraction of premolars both upper and lower in right side to relieve crowding, with simultaneous correction of the deep bite by intrusion of the upper and/or lower incisors. Intrusion mechanics are performed with a bite opening bend on a preformed nickel titanium arch wire. Space closure is accomplished with power chain and guard behind the extracted site in anchor plate. Extraction of upper premolar and lower 1st molar (tooth no 36) in left side was done earlier. A 21 years old women with Cl-II Div-II malocclusion type B came to Dental Centre, Dhaka, with chief complaint of an unhappy smile. Retroclined 4 Incisors, Deep bite, Crowding, deficient lower facial height, Gummy smile and a moderately convex hard- and soft-tissue profile because of a retrusive mandible with over jet of 1.5mm and over bite of 6 mm was observed. The mechanics plan should be individualized based on the specific treatment goals. Camouflage Treatment was done with the help of an anchor plate incorporated anterior incline plane. Intrusion mechanics are performed with preformed nickel titanium Connecticut Intrusion Arch (CIA) and anchor plate incorporated bite plane. Treatment was successfully completed with extractions of both pre-molars in right side and left lower 1st molar (Tooth no 36) and upper 1st premolar(Tooth no 24) already extracted ( Fig. 2 A) before starting of orthodontic treatment. Treatment of 20 months which improves incisor inclination, Deep bite correction; eliminate crowding, normal smile line and improvement of gummy smile. With the above mentioned protocol normal inclination of both upper-lower incisor, normal over jet and over bite were also achieved. DOI: http://dx.doi.org/10.3329/bjodfo.v1i2.15987 Ban J Orthod & Dentofac Orthop, April 2011; Vol-1, No.2, 18-24
As a means of regular practice in orthodontics and aesthetic dentistry, resin based adhesive systems are being used exclusively. Keeping up with the ever-increasing demand for aesthetic dental treatment all over the world, newer and more improved adhesive systems have been developed. However, regarding the comparison as to which bonding system performs better in clinical perspective, there is lack of existing scientific review articles. In this review, we tend to explore the conventional etch and rinse bonding system and the self-etch primer bonding system. The different tests to assess and compare bond strength between these two types of adhesives from various bibliography are discussed. The results of shear bond strength test, adhesive remnant index (ARI), enamel-adhesive interface using scanning electron microscope (SEM) and the effect of saliva contamination and time are discussed. Interestingly, each system has its strengths and weaknesses. In shear bond strength, self-etch bonding systems clearly exhibits less strength than conventional bonding systems. Resin tags into enamel surface are shorter in self-etch primer adhesives which results from milder etching to enamel compared to the conventional aid-etch and rinse adhesives. Contrarily, the irreversible changes to enamel surface is more aggressive in conventional acid-etching which states that self-etching systems are better according to the principles of minimal intervention dentistry. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.20-26
A 20 years old male presented with Class-I malocclusion with crowding and lock bite on upper right and left lateral incisors. Treatment involved extraction of all first premolars. The alignment of teeth in both arches were achieved by edgewise orthodontic therapy.Ban J Orthod & Dentofac Orthop, October 2012; Vol-3, No.1
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