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Camouflage treatment of posterior bite collapse in a patient with skeletal asymmetry by using posterior maxillary segmental osteotomy

Korean Journal of Orthodontics 2020³â 50±Ç 4È£ p.278 ~ 289
Badr Haitham, À̼ö¿¬, ¹ÚÈ«½Ä, ¿ÀÁÖ¿µ, °­À±±¸, ¾ÈÈ¿¿ø,
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 ( Badr Haitham ) - Kyung Hee University Dental Hospital Department of Orthodontics
À̼ö¿¬ ( Lee Soo-Yeon ) - Kyung Hee University Graduate School Department of Dentistry
¹ÚÈ«½Ä ( Park Hong-Sik ) - Private practice
¿ÀÁÖ¿µ ( Ohe Joo-Young ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
°­À±±¸ ( Kang Yoon-Goo ) - Kyung Hee University School of Dentistry Department of Orthodontics
¾ÈÈ¿¿ø ( Ahn Hyo-Won ) - Kyung Hee University School of Dentistry Department of Orthodontics

Abstract


Orthodontic treatment of posterior bite collapse due to early loss of molars and the consequent drift of adjacent teeth is complicated. When the posterior bite collapse occurs in patients with facial asymmetry, both transverse and vertical compensation are necessary for camouflage orthodontic treatment. In such cases, posterior maxillary segmental osteotomy (PMSO) can be an effective alternative procedure that simplifies the orthodontic treatment and shows long-term stability through dental compensation within the alveolar bone housing. This case report aimed to describe the orthodontic treatment of maxillary occlusal plane canting caused by severely extruded maxillary teeth in a patient with skeletal facial asymmetry that was corrected with PMSO along with protraction of the lower second molar to replace the space of the extracted first molar. The treatment duration was 18 months, and stable results were obtained after 2 years of retention.

Å°¿öµå

Posterior segmental osteotomy; Bite collapse; Facial asymmetry

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SCI(E)
KCI
KoreaMed