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Case report: early class III correction using titanium dental implants and facemask therapy: a 24-year follow-up

Nida Khan
Nida Khan
, 
John Stamatis
John Stamatis
, 
Robert Bower
Robert Bower
, 
Patrick J. Henry
Patrick J. Henry
 oraz 
Mithran Goonewardene
Mithran Goonewardene
   | 14 lip 2022
Australasian Orthodontic Journal's Cover Image
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Data publikacji: 14 lip 2022
Zakres stron: 213 - 226
Otrzymano: 01 gru 2021
Przyjęty: 01 maj 2022
DOI: https://doi.org/10.2478/aoj-2022-0024
© 2022 Nida Khan et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1.

Pre-treatment photographs.
Pre-treatment photographs.

Figure 2.

Pre-treatment dental casts.
Pre-treatment dental casts.

Figure 3.

Pre-treatment lateral cephalogram and orthopantomogram.
Pre-treatment lateral cephalogram and orthopantomogram.

Figure 4.

Tubinger facemask with photos demonstrating intraoral anchors.
Tubinger facemask with photos demonstrating intraoral anchors.

Figure 5.

Completion of full fixed appliances photographs (1994).
Completion of full fixed appliances photographs (1994).

Figure 6.

Post-Facemask lateral cephologram and orthopantomogram (1996).
Post-Facemask lateral cephologram and orthopantomogram (1996).

Figure 7.

Profile view of Pre-tx (1991), Post FM treatment (1996) and 24 years post FM Treatment (2020).
Profile view of Pre-tx (1991), Post FM treatment (1996) and 24 years post FM Treatment (2020).

Figure 8.

Superimposition of initial (1991; black), post treatment (1996; blue) and Twenty-four year retention (2020; red) on Sella-Nasion.
Superimposition of initial (1991; black), post treatment (1996; blue) and Twenty-four year retention (2020; red) on Sella-Nasion.

Figure 9.

Twenty-four years post-FM cessation photographs.
Twenty-four years post-FM cessation photographs.

Figure 10.

Twenty-four years post-FM cessation lateral cephalogram and orthopantomogram.
Twenty-four years post-FM cessation lateral cephalogram and orthopantomogram.

Figure 11.

Twenty-four years post-FM cessation dental casts.
Twenty-four years post-FM cessation dental casts.

Cephalometric Measurements.

Immediate effects Medium and long term observations
Measurement Pre-treatment RME completion Full fixed appliance completion FM completion 2 Years post FM cessation 11 Years post FM cessation 24 Years post FM cessation
SNA ( ) 76 78 79 79.5 79 79 79
SNB (°) 83 81 81 81 82 81.5 81
ANB (°) -7 -3 -2 -1.5 -3 -2.5 -2
WITS (mm) -13 -7 -8 -8 -9 -5 -5
NAPog (°) -7 -3 -2.5 -3 -3 -3.5 -4
SN – PP (°) 8 7 3 8 7.5 4 3
SN-GoGn(°) 34 34 38 38 38 39 40
Co-A (mm) 69 75 75 76 76 77 785
Co- Pog (mm) 95 100 104 107 109 110 122
LAFH/TAFH (%) 56 58 60 59 61 60 61
U1 – PP (°) 113 111 110 110 110 106 110
U1 – NA (°) 28 27 28 28 25 18 28
L1-MP (°) 76 58 68.5 75 77 77 64
L1-NB (°) 15 3 10.5 15 19 19 10
Interincisal angle (°) 144 160 144 136 136 144 146
NLA (°) 60 90 92 94 94 106 104
Ulip-E line (mm) -9 -4 -4 -7 -8 -9 -12
Llip-E line (mm) 3 1 0 -1 -1 -3 -3
OJ (mm) -5 3 2 2 -1.5 -2 1
OB (mm) 4 2 3 2 1 2 1

Clinical measurements.

Pre treatment RME completion Full fixed appliance completion Retention (1 year prior FM completion) Prior to re-treatment (11 years post FM) After re-treatment 24 Years Post treatment
Overbite (%) 60 40 10 15 10 40 20
Overjet (mm) -5 4 2.5 2 -1 3 1
Incisor relationship III II I I III I I
Molar relationship III II I I I I I
Intermolar width Mx (mm) 45 47 45 45 45 43 42
Arch Depth Mx (mm) 25 20 21 21 19 21 20
Intermolar width Md (mm) 39 42 36 37 37 37 37
Arch Depth Md (mm) 23 18 15 15 15 15 16
eISSN:
2207-7480
Język:
Angielski
Częstotliwość wydawania:
Volume Open
Dziedziny czasopisma:
Medicine, Basic Medical Science, other
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