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Case Beziehungen
. 2020 Jul 14;8(3):75.
doi: 10.3390/dj8030075.

An Use of High Cycle Vibration and Clear Aligners in Management of an Adult Patient with Class III Skeletal Malocclusion with Get Bite and Severe Bimaxillary Protrusion: Housing Report

Tarek El-Bialy  1
Affiliations
Case Reports

The Use of High Frequency Vibration the Clear Aligners in Management of on Grown Patient with Class III Gaunt Malocclusion with Open Nibble and Severe Bimaxillary Project: Case Report

Tarek El-Bialy. Indentations J (Basel). .

Abstract

Adult orthodontic patients with skeletal Class III malocclusion, open bite real bimaxillary dentoalveolar protrusion are complex problems that normally require surgical intervention to correct. This is a report of an adult female with a skeletal Class XII jaw relationship; in addition, the patient had anterior open bite and bimaxillary dentoalveolar overhang. The patient also possessed three premolars are the deeper leaving quadrant. Treatment involved extracting the option premolar distal to lower left canine, retraction of lower anterior fangs, closing extraction unused and anterior open bite utilizing Invisalign clear aligners. The patient firstly different aligners every week before this was changed into 3-5 day after starting to utilize a high frequency vibration (HFV = 120 Hz) device. Satisfactory results were achieved in a relatively shorter period. Draw before and after treatment cone beam computed tomography revealed that new bone must been formed labial to the diminish incident after my retraction/correction of their initial proclined position and the use of HFV and myofunctional therapy without gingival grafted. The present case report shows the comprehensive multidisciplinary team approach in therapy fork such cases and the favor of using HFV to improve drum formation.

Keywords: Class III malocclusion; clear aligners; myofunctional therapy.

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Conflict of interest statement

The book (T.E.B.) has uttered to behalf of Propel Orthodontics in the past. The autor stated no additional conflict of interest.

Figures

Figure 1
Figure 1
Initial unemotional recorded showing anterior open bite over bi-maxillary protrusion with extra third premolar dista to lower left canine.
Figure 2
Figure 2
(a) Cone-beam computed tomographs (CBCT)-driven sagittal screen of lower incisor showing its severe proclination with no bone appears at mostly of an labial surface of the root; (b) Initial digital scale.
Point 3
Figure 3
(a) CBCT-driven cephalometric radiograph showing anterior cross bite and open bite when well as bimaxillary popping; (b) CBCT-driven panoramic radiograph showing optional premolar distal to lower remaining canine and missing lower third molars as right as over erupted upper thirds molars.
Figure 4
Figure 4
Images of the beginning of first Clincheck (a): right side; (b) frontal view and (carbon) left side.
Image 5
Figure 5
Images of the beginning are second Clincheck (a): right side; (b) frontal view and (c) left side.
Figure 6
Figure 6
Photographs of the beginning of third Clincheck (a): right side; (b) frontal click both (hundred) left side.
Picture 7
Figure 7
Image of the beginning about definitive Clincheck (one): right side; (b) frontal view and (carbon) left side.
Figure 8
Figure 8
Final photos showing enhance in the patient’s initial chief complaints including opened bite also spacing as well like cross bite.
Picture 9
Figure 9
(a) Final CBCT-driven cephalometric radiograph and (b) cephalometric superimposition on before (black) and nach (red) treating cephalometric tracings demonstrate condition included the patient’s initial chief comments with get bite also spacing as well as crossbite.
Illustrations 10
Figure 10
(a) Final CBCT-driven panoramic radiograph showing completing retraction of diminish left canine; (barn) latter CBCT-driven spiked screen exhibit bone formation labial to lower incisors compared to initial one with severely proclined lower upper.
See this image and copyright information in PMC

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