Changes in the crown angulation and dental arch widths after nonextraction orthodontic treatment: Model analysis of mild crowding with high canines

This study was undertaken to examine which factors contributed to the correction of crowding in two patients who underwent nonextraction orthodontic treatment. A study model analysis was conducted to determine the effects of the orthodontic treatment for crowding with high canines on crown angulation and dental arch width in two patients. The results showed that the crown angulation was significantly increased, indicating distal tipping in the maxillary dental arch. This tendency was most commonly observed in the premolars among the lateral teeth. With respect to the dental arch width, the largest change was evident in the first molar and first premolar regions in cases 1 and 2, respectively. On the basis of these results, up-righting of mesially tipped lateral teeth and expansion of narrow dental arches could prove to be the keys to the success of space regaining or correction of high canines and mild crowding.

Mesially Directed Inclination of Posterior Teeth Contributing to Maxillary High Canine, and Changes during Orthodontic Treatment

Objective: The aim of study was to evaluate the nature of mesiodistal angulation of the posterior teeth in patients with maxillary high canine, and to identify possible associations of crowding with mesial axial angulation of the maxillary posterior teeth. Methods: The present study included seven Japanese male and 23 Japanese female patients. Study models were analyzed to evaluate the effectiveness of orthodontic treatment. A protractor was used to measure crown angulations, which were measured with reference to the posterior angle between the functional occlusal plane (FOP) and the long axis of the clinical crown of the lateral teeth and first molars. A sliding digital caliper was used to measure dental arch widths. Changes in the rotation of the maxillary molars were analyzed using “occlu-sograms”, which were printed from photographs of the occlusal aspect of the study model. Results: The maxillary teeth interacted with one another in the alveolar bone, resulting in progressive mesial tipping of the posterior teeth before orthodontic treatment. After orthodontic treatment, the angle relative to the FOP exhibited a significant increase, indicating that the maxillary teeth underwent distally directed uprighting (P P Conclusions: Based on the results, both uprighting of mesially tipped lateral teeth and expansion of narrow dental arches could prove to be keys to success in space regaining or correction of high canines and mild crowding.

Generalized periodontitis treated with periodontal,orthodontic,and prosthodontic therapy:A case report

BACKGROUND Generalized periodontitis is a severe periodontal disease characterized by rapid periodontal destruction in healthy persons.This case report describes the treatment of a severe crowding,large overjet,and occlusal collapse due to the loss of anterior guidance with generalized periodontitis.CASE SUMMARY A 35-year-old female patient with a chief complaint of crowding and maxillary protrusion was diagnosed with generalized periodontitis by clinical and radiographic examinations.To improve crowding and overjet,orthodontic treatment was performed after basic periodontal therapy.Severely damaged upper right lateral incisor and left canine were extracted,and lower right first premolar and left second premolar were also removed to treat severe crowding.After orthodontic treatment,periodontal flap surgery for upper left molars and guided tissue regeneration for the lower left second molar was performed.Then,a dental implant was inserted in the upper left canine legion.The esthetics of the maxillary anterior tooth was improved by prosthetic restorations.The treatment result showed a well-improved occlusion with proper anterior guidance and healthy periodontal tissue after a retention period of 10 years.CONCLUSION Periodontal,orthodontic,and prosthodontic treatments are extremely useful to improve function and stable periodontal tissue for generalized periodontitis.