Orthodontic treatment of severe crowding malocclusion with temporomandibular joint closed-lock by means of multi-loop edgewise archwire: a case report

Kawagoe, Takeshi; Akimoto, Susumu; Sato, Sadao

doi:10.1007/s12548-010-0041-9

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…Third molar extraction was ade- c quate to achieve the treatment objectives because the third molars could have a negative effect on occlusion [13]. Application of the MEAW mechanics was also optimum for correcting the inclined tooth axis (uprighting) within a relatively short treatment time [3]. The active treatment took 14 months and retention time using a removable appliance was 6 months.…”

Section: Discussionmentioning

confidence: 99%

Effects of orthodontic reconstruction on brain activity in a patient with masticatory dysfunction

Otsuka

Saruta

Greven

et al. 2011

J. Stomat. Occ. Med.

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Brain functional magnetic resonance imaging (fMRI) was used to evaluate the effect of malocclusion therapy on the brain activity of a patient with malocclusion. A 29-year-old female patient had difficulty opening the mouth with occasional pain in the left temporomandibular joint (TMJ) and a maximum opening of only 29 mm. The treatment objectives included repositioning the displaced mandible and establishing occlusal support. Orthodontic treatment took 14 months. Treatment results were satisfactory in terms of the occlusion and function of the TMJ as well as aesthetics. Analyses of brain activity using fMRI before and after orthodontic treatment indicated clenching at the habitual intercuspal position (ICP) before treatment resulted in increased blood oxygen level dependent (BOLD) signals in the motor area of the oral region abnormally; however, this activity converged after treatment. These results suggested orthodontic treatment of malocclusion may relieve unpleasant symptoms.

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Section: Discussionmentioning

confidence: 99%

Effects of orthodontic reconstruction on brain activity in a patient with masticatory dysfunction

Otsuka

Saruta

Greven

et al. 2011

J. Stomat. Occ. Med.

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“…Pemakaian multiloop meliputi regio anterior dan posterior dengan variasi bentuk loop memberikan kombinasi arah gaya untuk koreksi malposisi gigi individual. 9 Penulisan laporan kasus ini telah mendapat persetujuan dari pasien dan pasien tidak keberatan jika kasus tersebut dipublikasikan dalam majalah Ilmiah Kedokteran Gigi. Saat ini pasien masih dalam tahap perawatan retraksi kaninus, setelah retraksi kaninus selesai akan dilanjutkan dengan retraksi anterior, perbaikan interdigitasi, dan oklusal adjustment.…”

Section: Pendahuluanunclassified

“…10 Pemakaian multiloop meliputi regio anterior dan posterior dengan variasi bentuk loop memberikan kombinasi arah gaya untuk koreksi malposisi gigi individual. 9 Pergerakan gigi individual yang dihasilkan dari multiloop archwire lebih seragam dan seimbang serta memiliki kelebihan dalam pergerakan distal enmasse pada gigi mandibula. 11,12 Multiloop archwire efektif dalam meneliminasi crowding akan tetapi dapat juga meningkatkan dimensi vertikal sehingga memberikan dukungan oklusi yang stabil.…”

Section: Pembahasanunclassified

“…11,12 Multiloop archwire efektif dalam meneliminasi crowding akan tetapi dapat juga meningkatkan dimensi vertikal sehingga memberikan dukungan oklusi yang stabil. 9 Mekanisme multiloop archwire efektif dan serba guna dalam koreksi maloklusi seperti open bite, deep overbite, klas II, klas III dan maloklusi dengan deviasi midline akan tetapi tidak memberikan garansi keberhasilan perawatan sehingga perawatan dengan multiloop archwire membutuhkan diagnosis dan rencana perawatan yang tepat. Pemilihan bentuk dan penempatan loop perlu diperhatikan sesuai tujuan perawatan yang diinginkan serta detail saat melakukan bengkokan pada kawat harus tepat untuk mendapatkan hasil yang optimal.…”

Section: Pembahasanunclassified

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Efektivitas Busur Multiloop Edgewise Pada Kasus Crowding Berat Disertai Palatal Bite

Rasyid

Iman

Heryumani

2014

Majalah Kedokteran Gigi Indonesia

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Mekanisme perawatan dengan Multiloop Edge Wise (MEAW) efisien dalam melakukan koreksi maloklusi berat dengan defleksi tekanan yang sangat rendah. Tujuan pemaparan kasus adalah evaluasi perawatan crowding berat disertai palatal bite menggunakan multiloop edgewise archwire. Seorang laki laki 15 tahun dengan maloklusi Angle kelas I tipe 1,4, skeletal kelas I dengan bimaksilari retrusif disertai bidental protrusif. Crowding berat pada regio anterior dan posterior serta palatal bite pada gigi 12, 11, 21, 22 terhadap 42, 41, 31, 32, scissor bite pada gigi 15 terhadap 45, overjet 6,21 mm dan overbite 6,04 mm. Bentuk lengkung gigi pada rahang atas parabola asimetri sedang pada rahang bawahomega asimetri. Lengkung gigi regio posterior mengalami kontraksi lateral dan lengkung gigi kearah anterior mengalami protraksi. Perawatan kasus dilakukan dengan menggunakan alat cekat teknik Edgewise dengan multiloop pada regio anterior dan posterior disertai pencabutan empat gigi premolar pertama. Hasil perawatan setelah 6 bulan menunjukkan crowding, palatal bite, dan scissor bite terkoreksi. Overjet menjadi 4,20 mm dan overbite 3,90 mm. Bentuk lengkung pada rahang atas dan rahang bawah menjadi parabola simetris. Jarak intermolar rahang atas bertambah sebesar 2,11 mm dan rahang bawah bertambah sebesar 1,22 mm. Effectiveness of multiloop edge wise arch in severe crowded case accompanied by palatal bite. MEAW appliance is a tehnique which is able to efficiently treat many cases including severe crowding with very low load deflection. The objectives of this study is to evaluate the treatment of severe crowding malocclusion with palatal bite using multiloop edgewise archwire. A 15 years old man with Angle class I type 1,4 malocclussion, class I sceletal with bimaxillary retrusion and bidental protusion. Severe crowding malocclusion in anterior and posterior region, palatal bite in 12, 11, 21, 22 to 42, 41, 31, 32, scissor bite in 15 to 45, overjet 6,21 mm and overbite 6,04 mm. asymmetry in both of dental arch, but the shape of the upper arch was parabola and lower arch was omega. Contraction of dental arch in posterior region and protraction in anterior region. This case was treated with extraction of four first premolar using multiloop edgewise arcwire tehnique, the loops were placed in anterior and posterior region. After six month of treatment the result showed that MEAW could correct severe crowding, palatal bite and scissor bite. Overjet became 4,20 mm and overbite became 3,90 mm. Shape of upper and lower dental arch became symmetric parabola. Upper intermolar increased 2,11 mm and lower intermolar 1,22 mm.

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“…4 Results from different modalities of TMD treatment indicate that recovering the harmony between the stability of the TMJ and support by occlusion is more important for providing long-lasting function of the masticatory system than we expected before. 5 A stabilization splint is a hard acrylic splint that provides a temporary and removable ideal occlusion to reduce abnormal muscle activity and produces neuromuscular balance. With regard to the efficacy of stabilization splint treatment for TMD, much controversial research exists.…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular disorders with skeletal open bite treated with stabilization splint and zygomatic miniplate anchorage:A case report

Song

Chen

2015

The Angle Orthodontist

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This case report describes the treatment of a patient with temporomandibular disorder (TMD) and skeletal open bite. First, the patient was treated with a stabilization splint to stabilize the condyles in centric relation and to alleviate TMD signs and symptoms. After making a definitive diagnosis from postsplint records, orthodontic treatment was initiated. Titanium miniplates were placed at bilateral zygomatic buttresses and used as orthodontic anchorage for molar intrusion and distalization. The treatment was completed after 30 months. Satisfactory appearance and function were achieved for this patient. (Angle Orthod. 2015;85:335-347.)

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Orthodontic treatment of severe crowding malocclusion with temporomandibular joint closed-lock by means of multi-loop edgewise archwire: a case report

Cited by 5 publications

References 18 publications

Effects of orthodontic reconstruction on brain activity in a patient with masticatory dysfunction

Effects of orthodontic reconstruction on brain activity in a patient with masticatory dysfunction

Efektivitas Busur Multiloop Edgewise Pada Kasus Crowding Berat Disertai Palatal Bite

Temporomandibular disorders with skeletal open bite treated with stabilization splint and zygomatic miniplate anchorage:A case report

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