European Journal of General Dentistry, Table of Contents

CC BY-NC-ND 4.0 · European Journal of General Dentistry 2018; 7(01): 19-24
DOI: 10.4103/ejgd.ejgd_102_17

Case Report

Open bite, root resorptions, midline deviation, and bilateral crossbite malocclusion

Oscar Mario Antelo

¹Department of Orthodontics, Universidad Intercontinental, Cidade de México, México

²Pontifícia Universidade Católica do Paraná, School of Life Sciences, Curitiba, Brazil

,

Thiago Martins Meira

²Pontifícia Universidade Católica do Paraná, School of Life Sciences, Curitiba, Brazil

,

Laís Cristina Giacobbo

²Pontifícia Universidade Católica do Paraná, School of Life Sciences, Curitiba, Brazil

,

Ariel Adriano Reyes Pacheco

²Pontifícia Universidade Católica do Paraná, School of Life Sciences, Curitiba, Brazil

³Pontifícia Universidad Católica Madre and Maestra, RSTA, School of Stomatology, MO, USA

,

Orlando Motohiro Tanaka

²Pontifícia Universidade Católica do Paraná, School of Life Sciences, Curitiba, Brazil

⁴Fellow in The Center for Advanced Dental Education at SLU, MO, USA

› Author Affiliations

Abstract

There has been a progressive increase in demand for orthodontic treatment for adult patients. A 40-year-old female came to the orthodontic clinic complaining of overcrowding and midline deviation. Clinical examination showed facial asymmetry and midline deviation due to the extraction of the maxillary and mandibular first premolars of the right side. A periapical radiograph showed a severe root resorption in the maxillary central and lateral incisors. The treatment objectives were to correct the midline deviation, close the open bite, correct the bilateral posterior crossbite, and obtain a Class I relationship for the molars and canines on both sides. This case report shows a treatment approach that was effective in correcting all problems of malocclusion that the adult patient presented. The treatment results have established a new functional and stable occlusion with improvement of facial esthetics, and the roots were no shorter than before treatment.

Keywords

Keywords

Midline - openbite - orthodontics - short root

References
1 Faber J. Elderly people, quality of life, and orthodontics. J World Fed Orthod 2016;1:1.
2 Simon JS. Adult lingual orthodontics: A shift in our everyday routine. Int Orthod 2012;10:54-65.
3 Fastlicht J. Adult orthodontics. J Clin Orthod 1982;16:606-18.
4 Smithpeter J, Covell D Jr. Relapse of anterior open bites treated with orthodontic appliances with and without orofacial myofunctional therapy. Am J Orthod Dentofacial Orthop 2010;137:605-14.
5 Germa A, Clément C, Weissenbach M, Heude B, Forhan A, Martin-Marchand L, et al. Early risk factors for posterior crossbite and anterior open bite in the primary dentition. Angle Orthod 2016;86:832-8.
6 Harris EF, Butler ML. Patterns of incisor root resorption before and after orthodontic correction in cases with anterior open bites. Am J Orthod Dentofacial Orthop 1992;101:112-9.
7 Reynders R, Ronchi L, Bipat S. Mini-implants in orthodontics: A systematic review of the literature. Am J Orthod Dentofacial Orthop 2009;135:564.e1-19.
8 Tulloch JF, Lenz BE, Phillips C. Surgical versus orthodontic correction for class II patients: Age and severity in treatment planning and treatment outcome. Semin Orthod 1999;5:231-40.
9 Tucker MR. Orthognathic surgery versus orthodontic camouflage in the treatment of mandibular deficiency. J Oral Maxillofac Surg 1995;53:572-8.
10 Breece GL, Nieberg LG. Motivations for adult orthodontic treatment. J Clin Orthod 1986;20:166-71.
11 Weltman B, Vig KW, Fields HW, Shanker S, Kaizar EE. Root resorption associated with orthodontic tooth movement: A systematic review. Am J Orthod Dentofacial Orthop 2010;137:462-76.
12 Mirabella AD, Artun J. Risk factors for apical root resorption of maxillary anterior teeth in adult orthodontic patients. Am J Orthod Dentofacial Orthop 1995;108:48-55.
13 Maués CP, do Nascimento RR, Vilella Ode V. Severe root resorption resulting from orthodontic treatment: Prevalence and risk factors. Dental Press J Orthod 2015;20:52-8.
14 Ong MM, Wang HL. Periodontic and orthodontic treatment in adults. Am J Orthod Dentofacial Orthop 2002;122:420-8.
15 Tanaka OM, Knop LH, Shintcovsk RL, Hirata TM. Treatment of a patient with severely shortened maxillary central incisor roots. J Clin Orthod 2008;42:729-31.