Cases reported "Open Bite"

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1/72. Treatment of a Class II division 1 anterior open bite malocclusion.

    A case report of an 11-year-old Caucasian female who presented with a Class II div I anterior open bite malocclusion. Overjet is 6 mm and the anterior open bite 2 mm. There was a history of digit sucking till she was eight years old. She was successfully treated by non-extraction with pre-adjusted Edgewise appliances and high-pull headgear for a period of 27 months.
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2/72. Treatment of a Class III anterior open bite malocclusion: a combined orthodontic and orthognathic surgical approach.

    Case report of an adult Caucasian female aged 23 years and nine months who complained of some difficulty in chewing and talking. Patient was diagnosed to have a mild Class III skeletal malocclusion with an anterior open bite of 4 mm. Treatment included combined orthodontic and orthognathic surgical approach. Surgery included surgically assisted maxillary expansion, advancement and impaction, a mandibular setback and a vertical, antero-posterior reduction genioplasty. The present case report illustrates a coordinated orthodontic and orthognathic surgical approach in the treatment of skeletal open bite deformities.
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3/72. Schinzel-Giedion syndrome: interesting facial and orodental features, and dental management.

    Schinzel-Giedion syndrome comprises multiple congenital anomalies. The orofacial features include coarse facies, frontal bossing, ocular hypertelorism, anterior open bite and macrodontia. Two cases are presented in which the presence of specific craniofacial anomalies with bilateral hydronephrosis confirmed the diagnosis. In one patient, bottle-feeding was associated with caries in maxillary central and lateral incisors, but the second patient was permanently tube fed and did not experience any dental caries. Clinical management of these patients requires a coordinated approach from a team of medical and dental specialists.
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4/72. The Garcia Distraction Appliance: treatment of the TMD patient with an anterior open bite.

    A temporomandibular joint case with an anterior open bite and a high mandibular plane angle was treated by erupting the posterior teeth after creating a posterior open bite using a Garcia Distraction Appliance and a Garcia Pivot Splint.
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5/72. Seckel syndrome: report of a case.

    An interesting case of a seven years old boy with a combination of clinical, genetic, radiological, pathologic and dental findings is presented in view of Seckel syndrome literature. General appearance of the patient was characterized by small forehead, posteriorly slanted ears, slightly beaked nose, midfacial hypoplasia very stunted stature with microcephaly. He had borderline mental retardation with normal motor development. Class II dentoskeletal pattern with mild overjet and open bite, congenitally missing permanent teeth, microdontia, enamel hypoplasia, taurodontism and dentinal dysplasia was observed according to the clinical and radiographic examination. In conclusion, Seckel syndrome is not encountered routinely in dental clinics, this case illustrates the importance of dental care in such a rare condition.
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6/72. amelogenesis imperfecta: diagnosis and resolution of a case with hypoplasia and hypocalcification of enamel, dental agenesis, and skeletal open bite.

    A case of amelogenesis imperfecta with hypoplasia, hypocalcification of the enamel, congenital absence of teeth 12 and 22, delayed eruption of tooth 23, edge-to-edge incisal relationship, open bite, and bilateral posterior cross bite at the level of the first and second premolars is presented. Lateral skull teleradiography indicated a Class III skeletal pattern of maxillary origin associated with a dolichofacial pattern with multiple indicators of facial hyperdivergence. The patient presented a major esthetic abnormality of the face and required orthodontic treatment prior to a prosthetic solution with full-coverage metal-ceramic crowns in both the maxilla and the mandible. The diagnosis of cases such as this one and the therapeutic implications from an orthodontic and prosthetic standpoint are reported.
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7/72. A less-invasive approach with orthodontic treatment in Beckwith-Wiedemann patients.

    The beckwith-wiedemann syndrome (BWS) is a rare genetic disorder, linked to an alteration on the short arm of chromosome 11 that comprises multiple congenital anomalies. macroglossia is the predominant finding, with subsequent protrusion of dentoalveolar structures, which results in a protruding mandible, anterior open bite, abnormally obtuse gonial angle and increased mandibular length. A less-invasive treatment with orthopaedic appliances in a patient with early tongue reduction is presented. This work summarizes the oral signs linked to macroglossia, and highlights the influence of macroglossia on mandibular growth structures. In our opinion, glossotomy could be carried out in the paediatric patient as a preventive measure in that it curbs the tongue's influence on skeletal growth and dramatically reduces the duration and extensiveness of subsequent treatment.
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8/72. Correction of severe vertical maxillary excess with anterior open bite and transverse maxillary deficiency.

    patients requiring correction of large anterior open bites have historically been among the most challenging treatments for orthodontists. Adding to that fundamental challenge for the adult patient in this case was vertical maxillary excess, a severe transverse maxillary deficiency as well as an arch length inadequacy, even though the patient had prior orthodontic treatment. The prior orthodontist had included arch expansion and extracted four first bicuspids, which limited current treatment options. Various treatment modalities that have traditionally been used to correct transverse maxillary deficiency and the accompanying arch length inadequacy include extractions, labial and buccal dental tipping, segmental maxillary osteotomies, and rapid maxillary expansion with or without surgical assistance. Transverse maxillary distraction osteogenesis is a modification (ie, using a latency period and specific rate and rhythm of distraction) of the surgically assisted rapid maxillary expansion technique developed 25 years ago. This case demonstrates the relationship of transverse maxillary deficiency as well as vertical maxillary excess to apertognathia. Considerations regarding the use of segmental maxillary osteotomy vs transverse distraction osteogenesis are discussed. This case report illustrates the benefit of a team approach using transverse maxillary distraction osteogenesis, effective orthodontic mechanics, and orthognathic surgery to correct a severe dentofacial deformity.
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keywords = bite, relation
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9/72. Menkes disease: report of two cases.

    Menkes disease is a rare, autosomal recessive disorder characterized by neuronal degeneration, abnormal hair, malformed connective tissue, mental retardation, and a life span of three years. Previously reported dental findings include a high arched palate, delayed eruption of secondary dentition, and open bite. The case of twin seven-year-old males with Menkes disease is presented, along with previously unreported dental findings of spindle-shaped root resorption patterns on the primary maxillary central and lateral incisors.
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10/72. An adult case of skeletal open bite with a severely narrowed maxillary dental arch.

    Surgically assisted rapid maxillary expansion is proposed as an efficient approach for adult patients with transverse maxillary deficiency. This article reports the treatment of an 18-year, seven-month old male patient with an anterior open bite and a severely narrowed upper dental arch. A posterior crossbite was present on both sides. For the correction of the posterior crossbite, a lateral maxillary expansion of more than 8 mm was required. A surgically assisted rapid maxillary expansion with Le Fort I corticotomy and mandibular setback with a sagittal splitting ramus osteotomy were determined as the treatment plan. The total treatment time was 24 months including five months of post-surgical observation. After the treatment, an acceptable occlusion was achieved with a Class I molar relationship. The amount of actual maxillary expansion was 6.3 mm at the canines and 9.7 mm at the first molars. The relapse of the expansion was 0.9 mm and 0.1 mm at the corresponding regions two years after the surgically assisted maxillary expansion. It is emphasized that surgically assisted rapid maxillary expansion is a secure and efficient approach for achieving a desirable lateral maxillary expansion with stability in adult patients demonstrating transverse maxillary deficiency. Furthermore, it is suggested that longterm observation of the maxillary arch width after retention is of a great importance for the maintenance of the acceptable treatment outcome.
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