An unusual extraction pattern for retreatment in a patient with dental protrusion and a deficient soft-tissue chin.

American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 2022 Vol.162(4) p. 554-567

Liaw JJL, Wang SH, Tsai BMY

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Abstract

A patient with dental protrusion and deficient soft-tissue chin, previously treated with maxillary first premolar extraction, sought retreatment to improve his facial profile. Orthognathic surgery was proposed as the ideal treatment option, but the patient declined. Therefore, other orthodontic options were considered. The combined intrusion and retraction force systems supported with skeletal anchorage on both arches and a midpalatal miniscrew successfully reduced the protrusion and rotated the mandible counterclockwise to improve the facial profile and chin projection. Sagittal correction enhanced by active vertical control with skeletal anchorage and de-wedging with posterior extraction was illustrated. In addition, advancement genioplasty was performed after orthodontic treatment to improve the chin projection further. The mechanics and results of this retreatment case were discussed.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 genioplasty 턱끝성형술 dict 1
시술 orthognathic surgery 안면윤곽술 dict 1
해부 mandible 하악골 dict 1
해부 skeletal scispacy 1
해부 chin scispacy 1
해부 posterior scispacy 1
합병증 soft-tissue chin scispacy 1
질환 orthodontic C0332276
Orthodontic
scispacy 1
질환 soft-tissue chin scispacy 1
기타 patient scispacy 1
기타 maxillary scispacy 1
기타 premolar scispacy 1
기타 arches scispacy 1

MeSH Terms

Cephalometry; Chin; Humans; Malocclusion, Angle Class II; Orthodontic Anchorage Procedures; Retreatment; Tooth Movement Techniques

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