Open AccessManagement of occlusal canting with miniscrews
Author(s) -
Rosa-María Yáñez-Vico,
Alejandro Iglesias-Linares,
María Cadenas de Llano-Pérula,
Álvaro Solano-Reina,
Enrique Solano-Reina
Publication year - 2014
Publication title -
the angle orthodontist
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 86
eISSN - 1945-7103
pISSN - 0003-3219
DOI - 10.2319/051313-369.1
Subject(s) - intrusion , sagittal plane , malocclusion , medicine , open bite , crossbite , orthodontics , occlusion , dentistry , geology , anatomy , surgery , geochemistry
A 14-year-old boy with a skeletal Class II malocclusion and open bite whose chief complaint was a posterior crossbite showed a canted occlusal plane with asymmetric gummy smile and mandibular deviation at clinical examination. The treatment with miniscrews focused on the bilateral intrusion of the maxillary posterior teeth and, after resolving the open bite, a new biomechanical technique involving joined miniscrews was applied for an en masse intrusion of the left side. This treatment strategy achieved optimal occlusion with improvements to the sagittal, vertical, and transverse relationships and achieved a harmonious smile.