Repository Universitas Prof. Dr. Moestopo (Beragama)

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Camouflage Orthodontic Treatment for Skeletal Prognathicwith Anterior Openbite

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Abstract: An ideal treatment is an orthognathic surgery for patients having prognathi skeletal with crossbite and openbite anterior.When a patient chooses camouflage treatment, thetreatment applied is upper anterior dental proclination, lower anterior dental retroclination, andupper and lower incisive extrusion. Limitation of camouflage treatment results inthe need to heed etiological factorsand patient complaints. Treatment of prognati skeletal and Class III dental (Angle) cases accompanied by skeletal type openbiteanterior and crossbite anterior on a female patient aged 32. Orthodontic treatment usinga pre-adjusted system and palatal crib. Type of anchorage for moderate upper and maximum lower dental arc. Theposition of the upper anterior dental bracket is installed 0.5 mm toward the gingival. Anterior dental protraction with protraction arch. Removal of 34 and 44 to retractlower anterior dental. Openbite anterior is corrected by upper anterior dental extrusion using extrusion arch and elastic vertical.After 26 monthsof treatment, the treatment goal is achieved, i.e.,2 mm overjet and overbite, better smile incisal display,and lowered concave profile. In a patient with camouflage orthodontic treatment, improvement occurs mostly at dental. Use of palatal crib provides an opportunity for upper anterior dental extrusion and lower anterior dental movement to lingual. The success of camouflage treatment occurs when esthetic and dental are not compromised toget good occlusion. To get stability, the dentalmovement must heed the position ofsupporting tissues.
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REPOSITORY UNIVERSITAS PROF. DR. MOESTOPO (BERAGAMA)

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