Surgery first using skeletal anchorage with tandem mechanics for mandibular molar distalization

Surgery first using skeletal anchorage with tandem mechanics for mandibular molar distalization

This case report describes the orthodontic retreatment a patient with a skeletal Class III malocclusion. The clinical examination showed a concave profile caused by a retruded maxilla and a prognathic mandible, an occlusal cant, and absence of all first premolars. A surgery-first approach was combin...

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Veröffentlicht in:American journal of orthodontics and dentofacial orthopedics 2018-01, Vol.153 (1), p.118-130
Hauptverfasser: Tavares, Carlos Alberto Estevanell, Sheffer, Miguel Angelo R., Allgayer, Susiane
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Sprache:eng
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container_title American journal of orthodontics and dentofacial orthopedics
container_volume 153
creator Tavares, Carlos Alberto Estevanell
Sheffer, Miguel Angelo R.
Allgayer, Susiane
description This case report describes the orthodontic retreatment a patient with a skeletal Class III malocclusion. The clinical examination showed a concave profile caused by a retruded maxilla and a prognathic mandible, an occlusal cant, and absence of all first premolars. A surgery-first approach was combined with skeletal anchorage implants in the maxillary arch and tandem mechanics. The esthetic facial profile, pleasant smile, appropriate occlusion, and overall good treatment outcomes remained stable 5 years after active orthodontic treatment. •A skeletal Class III malocclusion was treated with surgery, skeletal anchorage, tandem mechanics.•Surgery-first approach produces rapid profile improvement.•Tandem mechanics supported by skeletal anchorage reduce total treatment time.
doi_str_mv 10.1016/j.ajodo.2016.09.035
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subjects Dentistry
title Surgery first using skeletal anchorage with tandem mechanics for mandibular molar distalization
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