The Use of High Frequency Vibration and Clear Aligners in Management of an Adult Patient with Class III Skeletal Malocclusion with Open Bite and Severe Bimaxillary Protrusion: Case Report

El‐Bialy, Tarek

doi:10.3390/dj8030075

Cited by 6 publications

(6 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, the appearance of bone labial to lower incisors after moving them lingually in almost all cases supports the stimulatory effect of HFV on bone formation. This is in agreement with a pervious case report [ 28 ]. Due to the relatively wide range of patients’ ages presented in this study, results should be interpreted with care; however, the very short treatment time in younger patients (Cases 3, 4) compared to cases 1 and 2 is also in agreement with the previous report that regular orthodontic treatment time is longer with the patient’s increasing age.…”

Section: Discussionsupporting

confidence: 94%

The Effect of High-Frequency Vibration on Tooth Movement and Alveolar Bone in Non-Growing Skeletal Class II High Angle Orthodontic Patients: Case Series

El‐Bialy

2020

Dentistry Journal

Self Cite

View full text Add to dashboard Cite

This study presents a novel technique utilizing high-frequency vibration to shorten treatment time and preserve alveolar bone in challenging orthodontic cases that have been treated with Invisalign® clear aligners. Four non-growing orthodontic patients (age range 14–47 years old) with Class II skeletal patterns (convex profiles with retrognathic mandibles) who sought correction of their crowded teeth and non-surgical correction of their convex profiles were included in this study. These patients were treated using Invisalign clear aligners together with high-frequency vibration (HFV) devices (120 Hz) (VPro5™) that were used by all patients for five minutes per day during active orthodontic treatment. Vertical control and forward rotation of the mandible for each patient was achieved through pre-programming the Invisalign to produce posterior teeth intrusion. Successful forward rotation of the mandibles achieved in all patients led to improvement of their facial convex profiles (apical base relationship (ANB) improved 2.1 ± 0.5 degrees; FMA (Frankfurt mandibular plane angle) improved 1.2 + 1.1 degrees). Dental decompensation was achieved by lingual tipping of the lower incisors and palatal root torque of upper incisors. The use of HFV together with Invisalign facilitated achieving these results within a 12 ± 6 months period. In addition, more bone labial to the lower incisors after their lingual movement was noted. In conclusion, the use of HFV concurrent with SmartTrack Invisalign aligners allowed complex tooth movement and forward mandibular projection without surgery in non-growing patients with skeletal Class II relationships. The clinical impact and implications of this case series are: (1) the use of HFV facilitates complex orthodontic tooth movement including posterior teeth intrusion and incisor decompensation; (2) forward mandibular projection of the mandible and increased bone formation labial to lower incisors can be achieved in non-growing patients that may minimize the need for surgical intervention in similar cases or gum recession due to lower incisors labial inclination.

show abstract

Section: Discussionsupporting

confidence: 94%

The Effect of High-Frequency Vibration on Tooth Movement and Alveolar Bone in Non-Growing Skeletal Class II High Angle Orthodontic Patients: Case Series

El‐Bialy

2020

Dentistry Journal

Self Cite

View full text Add to dashboard Cite

show abstract

“…For this reason, to maintain high levels of cooperation, it is necessary to solve the problem of anterior crowding from the first aligner. Many case reports have demonstrated the possibility of achieving molar sequential distalization in patients with the Invisalign ® system [ 45 , 46 , 47 , 48 ].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Class III Malocclusion and Anterior Crossbite with Aligners: A Case Report

et al. 2022

View full text Add to dashboard Cite

The article describes the orthodontically treated case of a 25-year-old patient with skeletal and dental class III malocclusion, anterior crossbite, which caused functional and aesthetic problems, occlusal trauma, and incisor wear. Treatment with transparent aligners was proposed to meet the patient’s needs, using the sequential distalization protocol. While sequential distalization is well documented for class II malocclusion treatment in maxillary arch teeth, further investigations are necessary for class III malocclusions. In fact, lower teeth movements are more complex due to mandibular bone density and the presence of the third molars, which are often extracted to perform distalization. In addition, the use of intermaxillary elastics helps control the proclination of the anterior teeth as a reaction to distalizing forces. At the end of the treatment, the patient reached molar and canine class I and positive overjet and overbite. The inclination of lower incisors and the interincisal angle have improved, resulting in aesthetic and functional enhancement.

show abstract

“…However, as Proffit mentions, their treatment is possible with the use of auxiliaries and a combined approach [11]. This is supported by a study conducted by El-Bialy, which concluded the same [15]. The hybrid approach, using high-frequency vibration and clear aligners, made it possible to treat a severe case of an adult patient with class III skeletal malocclusion, open bite, and bimaxillary protrusion.…”

Section: Open Bite Correctionmentioning

confidence: 96%

Stability and Success of Clear Aligners in Orthodontics: A Narrative Review

Katib,

Hakami,

Albalawei

et al. 2024

Cureus

View full text Add to dashboard Cite

The implementation of Clear Aligner Therapy (CAT) in adult orthodontics exemplifies the integration of advanced technology in the dental healthcare sector. Representing a significant shift in modern orthodontics, CAT offers a convenient and aesthetic alternative to traditional fixed appliance treatments for mal-aligned dentition. This narrative review aims to explore the applicability of CAT, delineating its biomechanics, indications, contraindications, scope, limitations, and factors influencing long-term stability and successful outcomes. A comprehensive literature search was conducted using databases like Google Scholar, PubMed, Cereus, and the Cochrane Library. Articles were selected based on their relevance to clear aligners, without brand specificity, and covered a wide range of cases to establish CAT's scope and limitations. This review includes individual case studies, systemic reviews, comparative analyses, case reports, finite element analyses, and prospective and retrospective analyses, all contributing to a nuanced understanding of CAT's applicability and long-term treatment stability. The conclusion underscores CAT's growing acceptance in orthodontics, including its application in challenging cases, and highlights key determinants that bolster its long-term efficacy.

show abstract

The Use of High Frequency Vibration and Clear Aligners in Management of an Adult Patient with Class III Skeletal Malocclusion with Open Bite and Severe Bimaxillary Protrusion: Case Report

Cited by 6 publications

References 19 publications

The Effect of High-Frequency Vibration on Tooth Movement and Alveolar Bone in Non-Growing Skeletal Class II High Angle Orthodontic Patients: Case Series

The Effect of High-Frequency Vibration on Tooth Movement and Alveolar Bone in Non-Growing Skeletal Class II High Angle Orthodontic Patients: Case Series

Treatment of Class III Malocclusion and Anterior Crossbite with Aligners: A Case Report

Stability and Success of Clear Aligners in Orthodontics: A Narrative Review

Contact Info

Product

Resources

About