A 4-year clinical evaluation of direct composite build-ups for space closure after orthodontic treatment

2015 ◽  
Vol 19 (9) ◽  
pp. 2187-2199 ◽  
Author(s):  
Mustafa Demirci ◽  
Safa Tuncer ◽  
Evren Öztaş ◽  
Neslihan Tekçe ◽  
Ömer Uysal
1991 ◽  
Vol 18 (4) ◽  
pp. 329-331 ◽  
Author(s):  
Jeremy J. W. Breckon ◽  
Steven P. Jones

A case is presented in which two supernumerary teeth developed in the mandibular premolar region during orthodontic treatment. Their presence was only detected on a routine post-treatment radiograph. The Potential hazards of space closure with such teeth present are considered, although there were no detrimental effects in the case illustrated.


2018 ◽  
Vol 23 (4) ◽  
pp. 79-87
Author(s):  
Renato Barcellos Rédua ◽  
Paulo César Barbosa Rédua

ABSTRACT Hypodontia is the most prevalent craniofacial malformation in mankind. It may present a wide variety of manifestations and, depending on the number and location of missing teeth, it may affect the esthetics, mastication, speech and occlusal balance. This paper discusses the therapeutic approaches to solve this condition, describing a case report with hypodontia of one mandibular lateral incisor, which treatment option included space closure at the region of hypodontia associated with composite resin restorations in the mandibular central incisors. The three-year follow-up after treatment revealed occlusal stability, adequate intercuspation in Class I relationship and excellent micro and macroesthetics.


2017 ◽  
Vol 11 (1) ◽  
pp. 466-475 ◽  
Author(s):  
Taísa Boamorte Raveli ◽  
Dirceu Barnabé Raveli ◽  
Kelei Cristina de Mathias Almeida ◽  
Ary dos Santos Pinto

Background: Tipped lower molar over edentulous space is very common in orthodontics practice when adults seek treatment. The segmented arch technique features a predictable force system that provides a controlled release of force that can produce light and continuous tooth movement. Case Description: A female adult patient, who lost a permanent lower first molar, needed correction of the position of her permanent first molar place. Instead of making space for rehabilitation, it was closed after second molar uprighting and a balanced interdigitation was created without prosthetics. The patient was successfully treated with segmented arch technique using root correction spring activated with geometry VI to promote uprighting of a tipped molar and Niti spring coil to promote space closure. Practical Implications: Segmented arch technique is known to provide predictable light and continuous forces, which is very much indicated in adult treatment. There are several things to consider when orthodontically treating adult patients. Their periodontal conditions might not be ideal, less bone apposition may occur, and side effects of orthodontic tooth movement are expected. Thus, a predictable and controlled orthodontic treatment is needed.


2018 ◽  
Vol 8 (1) ◽  
pp. 178
Author(s):  
Hedaiat Moradpoor ◽  
Farshad Rahimi ◽  
Amin Golshah ◽  
Narges Akbari ◽  
Sahar Raissi

Introduction: Due to the fundamental role of esthetics in the outcomes of dental treatments, especially in the anterior region (esthetic zone), the necessity of considering the matter of esthetics in clinical studies has become into focus in the current era. The aim of this study was the evaluation of esthetic outcomes of two treatment protocols in the treatment of congenital uni-lateral missing of maxillary lateral incisors as well as patient satisfaction from the treatment outcomes. Methods: in this study the sample size was 24 people (16 women and 8 men), These individuals sought dental treatment for replacement of the congenitally missing maxillary lateral incisor. Convenience sampling method was used and patients were divided into two groups regarding the kind of treatment they received. The two treatment protocols included: 1. Space closure by means of orthodontic treatment and then reshaping the canines; and 2. Space regaining by means of orthodontic treatment and replacing the lateral incisor with dental implants. Photographs of patients were acquired from the frontal view with retraction of the lips using digital cameras. Photographs were evaluated for Pink esthetic score. Results: No significant difference was detected between the two study groups in the evaluated factors in this study. Conclusion: The results of this study indicated that there is no significant difference in esthetic results in the two groups. Furthermore, both groups lead to similar results in patient satisfaction from treatment outcomes.


1986 ◽  
Vol 32 (11) ◽  
pp. 2108-2119
Author(s):  
Kengo TSUBOI ◽  
Toshitaka UJI ◽  
Masato IMAI ◽  
Kousuke UMEDA ◽  
Ichiro MASUI ◽  
...  

2019 ◽  
Vol 42 (4) ◽  
pp. 460-465
Author(s):  
Jadbinder Seehra ◽  
Anwar Al-Ali ◽  
Nikolaos Pandis ◽  
Martyn T Cobourne

Summary Background Assessment of orthodontic treatment outcomes such as treatment duration in patients with hypodontia are lacking. Objectives To assess the overall treatment duration of cases of bilateral absent upper lateral incisors treated with either orthodontic space closure (SC) or space opening (SO). The secondary aim was to determine factors which influence overall treatment duration. Subjects and methods A retrospective cohort study was undertaken within the Orthodontic department at Kings College Hospital NHS Foundation Trust. Consecutively treated patients between 2008 and 2018 with bilateral absent upper lateral incisors were identified from clinic lists, clinical logbooks, and multidisciplinary clinics. All study data variables were collected by a single investigator using a pre-specified data collection sheet. Results In total, 52 cases were included, 29 in the SC group and 23 in the SO group. Overall non-extraction treatment was favoured (P = 0.001) with differences in restorations provided post-treatment evident (P = 0.01). Although not statistically significant, the mean overall orthodontic treatment duration was less in the SC group 25.7 months (SD 7.6) compared to the SO group 27.4 (SD 6.1). Overall treatment duration was reduced if treatment was carried out on an extraction basis (−7.02, 95% CI: −11.93, 2.11, P = 0.01) but increased as the amount of crowding in the lower arch increased (0.89, 95% CI: 0.08, 1.71, P = 0.03). Conclusions Within the study limitations, there is no difference in the overall treatment duration between both treatment approaches. Treatment duration is reduced in both SO or SC treatment plans if extractions are undertaken. The presence of lower arch crowding increases the duration of treatment.


1978 ◽  
Vol 5 (2) ◽  
pp. 61-66 ◽  
Author(s):  
I. G. Crossman ◽  
R. T. Reed

An assessment of the long-term results of a series of first and second premolar extractions. First premolar extractions produced a higher proportion of satisfactory upper contacts and buccal occlusions, but second premolar extractions, were more often associated with space closure. Approximately 40 per cent of lower contacts were unsatisfactory. There was little difference between the premolars in this or with regard to residual lower incisor crowding. No association between the presence of third molars and space closure was found.


2016 ◽  
Vol 21 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Gerson Luiz Ulema Ribeiro ◽  
Helder B. Jacob

ABSTRACT Introduction: Space closure is one of the most challenging processes in Orthodontics and requires a solid comprehension of biomechanics in order to avoid undesirable side effects. Understanding the biomechanical basis of space closure better enables clinicians to determine anchorage and treatment options. In spite of the variety of appliance designs, space closure can be performed by means of friction or frictionless mechanics, and each technique has its advantages and disadvantages. Friction mechanics or sliding mechanics is attractive because of its simplicity; the space site is closed by means of elastics or coil springs to provide force, and the brackets slide on the orthodontic archwire. On the other hand, frictionless mechanics uses loop bends to generate force to close the space site, allowing differential moments in the active and reactive units, leading to a less or more anchorage control, depending on the situation. Objective: This article will discuss various theoretical aspects and methods of space closure based on biomechanical concepts.


2008 ◽  
Vol 32 (4) ◽  
pp. 331-339 ◽  
Author(s):  
Tae Weon Kim ◽  
Jae Hyun Park

Management of space problems is an important factor in the mixed dentition. The Clear Aligner can carry out minor tooth movement with no brackets bonded to the teeth. In addition, it can provide tooth movement for the following: crowding resolution, space closure, arch expansion or constriction, space maintenance or regaining, intrusion or extrusion, guidance of the eruption, and other interceptive orthodontic treatment.


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