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Class III malocclusion with traumatic unilateral maxillary central incisor loss treated using orthodontic miniscrews: a case report

Open Access
|Oct 2022

Figures & Tables

Figure 1.

Pretreatment facial and intraoral photographs.
Pretreatment facial and intraoral photographs.

Figure 2.

Pretreatment dental casts.
Pretreatment dental casts.

Figure 3.

Pretreatment cephalograms, a tracing of lateral cephalogram and a panoramic radiograph. (A) Lateral cephalogram. (B) Tracing. (C) Posteroanterior cephalogram. (D) Panoramic radiograph.
Pretreatment cephalograms, a tracing of lateral cephalogram and a panoramic radiograph. (A) Lateral cephalogram. (B) Tracing. (C) Posteroanterior cephalogram. (D) Panoramic radiograph.

Figure 4.

Pretreatment condylar movements and incisal paths as detected using a 6 degrees of freedom jaw movement recording system. Opening and closing, protrusive, and lateral jaw movements. The red line indicates the opening phase, and the blue line indicates the closing phase.
Pretreatment condylar movements and incisal paths as detected using a 6 degrees of freedom jaw movement recording system. Opening and closing, protrusive, and lateral jaw movements. The red line indicates the opening phase, and the blue line indicates the closing phase.

Figure 5.

Intraoral photographs of the treatment progress. Retraction of the maxillary anterior teeth and distalization of the mandibular dentition.
Intraoral photographs of the treatment progress. Retraction of the maxillary anterior teeth and distalization of the mandibular dentition.

Figure 6.

Posttreatment facial and intraoral photographs.
Posttreatment facial and intraoral photographs.

Figure 7.

Posttreatment dental casts.
Posttreatment dental casts.

Figure 8.

Posttreatment cephalograms, a tracing of lateral cephalogram and a panoramic radiograph. (A) Lateral cephalogram. (B) Tracing. (C) Posteroanterior cephalogram. (D) Panoramic radiograph.
Posttreatment cephalograms, a tracing of lateral cephalogram and a panoramic radiograph. (A) Lateral cephalogram. (B) Tracing. (C) Posteroanterior cephalogram. (D) Panoramic radiograph.

Figure 9.

Superimposition of the cephalometric tracings obtained at pretreatment (solid line) and posttreatment (dotted line). (A, D) The sella-nasion plane at the sella. (B, E) The palatal plane at the ANS. (C, F) The mandibular plane at the menton. (A–C) The right incisors and molars. (D–F) The left incisors and molars.
Superimposition of the cephalometric tracings obtained at pretreatment (solid line) and posttreatment (dotted line). (A, D) The sella-nasion plane at the sella. (B, E) The palatal plane at the ANS. (C, F) The mandibular plane at the menton. (A–C) The right incisors and molars. (D–F) The left incisors and molars.

Figure 10.

Superimposition of dental casts at pretreatment (light blue) and posttreatment (yellow-green) captured by a three-dimensional scanner. (A) The maxillary dental casts were superimposed at palate regions including the third palatal rugae.13,14 (B) The mandibular dental casts were superimposed at the mandibular torus.15 Red arrows indicate the movement of the upper and lower incisors and molars.
Superimposition of dental casts at pretreatment (light blue) and posttreatment (yellow-green) captured by a three-dimensional scanner. (A) The maxillary dental casts were superimposed at palate regions including the third palatal rugae.13,14 (B) The mandibular dental casts were superimposed at the mandibular torus.15 Red arrows indicate the movement of the upper and lower incisors and molars.

Figure 11.

Posttreatment condylar movements and incisal paths as detected using a 6 degrees of freedom jaw movement recording system. Opening and closing, protrusive, and lateral jaw movements. The red line indicates the opening phase, and the blue line indicates the closing phase.
Posttreatment condylar movements and incisal paths as detected using a 6 degrees of freedom jaw movement recording system. Opening and closing, protrusive, and lateral jaw movements. The red line indicates the opening phase, and the blue line indicates the closing phase.

Figure 12.

Postretention facial and intraoral photographs.
Postretention facial and intraoral photographs.

Figure 13.

Postretention dental casts.
Postretention dental casts.

Figure 14.

Postretention cephalograms, a tracing of lateral cephalogram and a panoramic radiograph. (A) Lateral cephalogram. (B) Tracing. (C) Posteroanterior cephalogram. (D) Panoramic radiograph.
Postretention cephalograms, a tracing of lateral cephalogram and a panoramic radiograph. (A) Lateral cephalogram. (B) Tracing. (C) Posteroanterior cephalogram. (D) Panoramic radiograph.

Figure 15.

Superimposition of the cephalometric tracings obtained at posttreatment (solid line) and postretention (dotted line). (A) The sella-nasion plane at the sella. (B) The palatal plane at the ANS. (C) The mandibular plane at the menton.
Superimposition of the cephalometric tracings obtained at posttreatment (solid line) and postretention (dotted line). (A) The sella-nasion plane at the sella. (B) The palatal plane at the ANS. (C) The mandibular plane at the menton.

Figure 16.

Postretention condylar movements and incisal paths as detected using a 6 degrees of freedom jaw movement recording system. Opening and closing, protrusive, and lateral jaw movements. The red line indicates the opening phase, and the blue line indicates the closing phase.
Postretention condylar movements and incisal paths as detected using a 6 degrees of freedom jaw movement recording system. Opening and closing, protrusive, and lateral jaw movements. The red line indicates the opening phase, and the blue line indicates the closing phase.

Maximum gap and displacement from the centric occlusion at each point_

Japanese norm*SDPretreatmentPosttreatmentPostretention
(Adult female)(23y1m)(26y1m)(28y6m)
Maximum gap (mm)
      at right condyle13.12.715.211.713.4
      at left condyle13.13.815.114.314.8
      at lower incisor44.86.455.254.046.0
Maximum displacement during protrusive excursive movement (mm)
      at right condyle7.61.66.27.36.2
      at left condyle7.61.64.95.96.0
      at lower incisor7.21.55.46.35.8
Maximum displacement during right lateral excursive movement(mm)
      at left condyle9.12.73.74.65.7
      at lower incisor8.32.13.73.04.9
Maximum displacement during left lateral excursive movement (mm)
      at right condyle9.12.70.44.16.0
      at lower incisor8.32.11.02.94.7

Cephalometric summary_

Japanese norm*SDPretreatmentPosttreatmentPostretention
(Adult female)(23y1m)(26y1m)(28y6m)
Angular(°)
SNA80.83.6183.283.283.3
SNB77.94.5485.585.685.7
ANB2.82.44-2.3-2.4-2.4
Mp-SN37.14.6426.925.825.5
Gonial A122.15.29117.5117.8117.6
U1-SN105.98.79125.1123.1121.4
L1-FH56.08.0963.471.769.9
L1-Mp9.346.7792.585.287 1
Inter incisal angle123.610.64115.6126.0126.0
Linear (mm)
S-N67.93.6569.669.769.7
N-Me125.85.04124.7123.2122.9
Me/NF68.63.7169.467.667.5
Go-Me71.44.1477.077.277.1
Ar-Go47.33.3354.654.754.7
Ar-Me106.65.74117.1117.4117.4
U1/NF31.02.3425.323.524.4
U6/NF24.62.0024.424.324.4
L1/Mp44.22.6847.145.644.9
L6/Mp32.92.5036.133.433.4
Overjet3.11.073.83.12.1
Overbite3.31 891.31.71.9
E-line to Upper lip-2.51.900.5-1.0-1.1
E-line to Lower lip0.91.903.30.00.7
DOI: https://doi.org/10.2478/aoj-2022-032 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 329 - 347
Submitted on: May 1, 2022
Accepted on: Aug 1, 2022
Published on: Oct 27, 2022
Published by: Australian Society of Orthodontists Inc.
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Michiko Yoshida, Masahiro Seiryu, Atsushi Mayama, Teruko Takano-Yamamoto, Itaru Mizoguchi, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution 4.0 License.