Full Digital Surgery-First, Skeletal Anchorage and Aligners Approach to Correct a Gummy Smile and Class II Malocclusion with Mandibular Retrusion and Deviation

Background: The demand for interdisciplinary orthodontic treatment has increased significantly in the past few years, especially in adult patients. This kind of treatment requires careful clinical management, as consequence of the possible complications and limits related to adult age. However, the...

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Autores principales:	Giorgio Iodice, Gianpaolo Tartaro, Mario Santagata, Salvatore D’Amato
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	3-dimensional diagnosis and treatment plan surgery-first aligner skeletal anchorage Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
Acceso en línea:	https://doaj.org/article/528d512eb54d4a449e59d9bb7b309ddc
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spelling	oai:doaj.org-article:528d512eb54d4a449e59d9bb7b309ddc2021-11-11T15:04:19ZFull Digital Surgery-First, Skeletal Anchorage and Aligners Approach to Correct a Gummy Smile and Class II Malocclusion with Mandibular Retrusion and Deviation10.3390/app112199852076-3417https://doaj.org/article/528d512eb54d4a449e59d9bb7b309ddc2021-10-01T00:00:00Zhttps://www.mdpi.com/2076-3417/11/21/9985https://doaj.org/toc/2076-3417Background: The demand for interdisciplinary orthodontic treatment has increased significantly in the past few years, especially in adult patients. This kind of treatment requires careful clinical management, as consequence of the possible complications and limits related to adult age. However, the use of skeletal anchorage and three-dimensional (3D) digital technology has deeply revolutionised diagnostic planning and treatment strategies. Methods: A fully digital approach to the treatment of a Class II patient with a gummy smile and mandibular deficiency and deviation, consisting of initial surgery followed by the use of aligners and skeletal anchorage, is described. Results: The 3D, fully digital pre-evaluation enabled clinicians to accurately and reliably plan the surgical procedure and subsequent orthodontics, including the individualised positioning of stabilisation plates and a splint for maxillary and chin surgical movements. This allowed for the improvement of the patient’s facial aesthetics and dental occlusion without the use of visible orthodontic appliances or the occurrence of pre-surgical aesthetic worsening. Conclusions: This approach could be very effective for adult patients seeking aesthetic treatment options for facial and dental aesthetic improvement.Giorgio IodiceGianpaolo TartaroMario SantagataSalvatore D’AmatoMDPI AGarticle3-dimensional diagnosis and treatment plansurgery-firstalignerskeletal anchorageTechnologyTEngineering (General). Civil engineering (General)TA1-2040Biology (General)QH301-705.5PhysicsQC1-999ChemistryQD1-999ENApplied Sciences, Vol 11, Iss 9985, p 9985 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	3-dimensional diagnosis and treatment plan surgery-first aligner skeletal anchorage Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
spellingShingle	3-dimensional diagnosis and treatment plan surgery-first aligner skeletal anchorage Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999 Giorgio Iodice Gianpaolo Tartaro Mario Santagata Salvatore D’Amato Full Digital Surgery-First, Skeletal Anchorage and Aligners Approach to Correct a Gummy Smile and Class II Malocclusion with Mandibular Retrusion and Deviation
description	Background: The demand for interdisciplinary orthodontic treatment has increased significantly in the past few years, especially in adult patients. This kind of treatment requires careful clinical management, as consequence of the possible complications and limits related to adult age. However, the use of skeletal anchorage and three-dimensional (3D) digital technology has deeply revolutionised diagnostic planning and treatment strategies. Methods: A fully digital approach to the treatment of a Class II patient with a gummy smile and mandibular deficiency and deviation, consisting of initial surgery followed by the use of aligners and skeletal anchorage, is described. Results: The 3D, fully digital pre-evaluation enabled clinicians to accurately and reliably plan the surgical procedure and subsequent orthodontics, including the individualised positioning of stabilisation plates and a splint for maxillary and chin surgical movements. This allowed for the improvement of the patient’s facial aesthetics and dental occlusion without the use of visible orthodontic appliances or the occurrence of pre-surgical aesthetic worsening. Conclusions: This approach could be very effective for adult patients seeking aesthetic treatment options for facial and dental aesthetic improvement.
format	article
author	Giorgio Iodice Gianpaolo Tartaro Mario Santagata Salvatore D’Amato
author_facet	Giorgio Iodice Gianpaolo Tartaro Mario Santagata Salvatore D’Amato
author_sort	Giorgio Iodice
title	Full Digital Surgery-First, Skeletal Anchorage and Aligners Approach to Correct a Gummy Smile and Class II Malocclusion with Mandibular Retrusion and Deviation
title_short	Full Digital Surgery-First, Skeletal Anchorage and Aligners Approach to Correct a Gummy Smile and Class II Malocclusion with Mandibular Retrusion and Deviation
title_full	Full Digital Surgery-First, Skeletal Anchorage and Aligners Approach to Correct a Gummy Smile and Class II Malocclusion with Mandibular Retrusion and Deviation
title_fullStr	Full Digital Surgery-First, Skeletal Anchorage and Aligners Approach to Correct a Gummy Smile and Class II Malocclusion with Mandibular Retrusion and Deviation
title_full_unstemmed	Full Digital Surgery-First, Skeletal Anchorage and Aligners Approach to Correct a Gummy Smile and Class II Malocclusion with Mandibular Retrusion and Deviation
title_sort	full digital surgery-first, skeletal anchorage and aligners approach to correct a gummy smile and class ii malocclusion with mandibular retrusion and deviation
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/528d512eb54d4a449e59d9bb7b309ddc
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Full Digital Surgery-First, Skeletal Anchorage and Aligners Approach to Correct a Gummy Smile and Class II Malocclusion with Mandibular Retrusion and Deviation

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