A novel approach for posterior bite collapse in an adult with crossbite anterior using a 3D-printed bite riser
Downloads
Background: Managing an adult patient presenting with an anterior crossbite in conjunction with posterior bite collapse (PBC) is a difficult challenge. Purpose: The purpose of this case study is to highlight the accuracy that can be attained with the utilization of a three-dimensional (3D) printed bite riser in the correction of PBC accompanied by an anterior crossbite in an adult patient with Class III malocclusion. Case: A 64-year-old male complained of being unable to chew properly. Extraoral examination revealed a concave profile with a protrusive mandible. The patient exhibits a 5 mm anterior crossbite and has missing lower posterior molars, resulting in bilateral PBC. The cephalometric analysis revealed skeletal Class III patterns (SNA: 82.19o; SNB: 86.34o; ANB: -4.15°), with protrusion and counterclockwise rotation of the mandible (SN-OP: 3.84o). Case Management: By utilizing a 3D-printed bite riser in conjunction with temporary anchoring devices (TADs), it is possible to resolve the issue of an anterior crossbite accompanied by PBC. This is achieved by repositioning the elongated posterior segments on both sides of the maxilla to generate vertical space for mandibular tooth rehabilitation, retracting the anterior segment, and narrowing the lower arch. Simultaneously, the crossbite on both sides was corrected, a Class I and ideal overbite and overjet were achieved, the occlusal vertical dimension increased, the occlusal plane angle was corrected (7.51o), and an acceptable ANB angle (-1.36°) was accomplished. The treatment lasted 18 months and yielded sustained results after a one-year retention period. Conclusion: Integrating 3D printing technology in orthodontic treatment offers numerous options for managing challenging cases such as PBC while also reducing the treatment length. The patient was satisfied with the results achieved.
Downloads
Syahdinda MR, Nugraha AP, Triwardhani A, Noor TNE binti TA. Management of impacted maxillary canine with surgical exposure and alignment by orthodontic treatment. Dent J. 2022; 55(4): 235–9. doi: https://doi.org/10.20473/j.djmkg.v55.i4.p235-239
Arianda TA, Rezqita P, Pudyani PS, Rosyida NF, Alhasyimi AA. Effect of cocoa administration on osteoblast counts and alkaline phosphatase levels during orthodontic tooth movement in rats. J Orofac Sci. 2020; 12(2): 101–6. doi: https://doi.org/10.4103/jofs.jofs_51_20
Iswati R, Farmasyanti CA, Ayub A, Kuijpers-Jagtman AM, Alhasyimi AA. Interdisciplinary management of Class III malocclusion with cleft lip and palate. Dent J. 2023; 56(1): 7–12. doi: https://doi.org/10.20473/j.djmkg.v56.i1.p7-12
Nakamura S, Donatelli D, Rosenberg E. Posterior bite collapse: Guidelines for treatment based on form and function. Int J Periodontics Restorative Dent. 2022; 42(3): 351–9. doi: https://doi.org/10.11607/prd.5073
Jung S-K, Kim T-W. Treatment of unilateral posterior crossbite with facial asymmetry in a female patient with transverse discrepancy. Am J Orthod Dentofac Orthop. 2015; 148(1): 154–64. doi: https://doi.org/10.1016/j.ajodo.2014.09.023
Badr H, Lee S-Y, Park H-S, Ohe J-Y, Kang Y-G, Ahn H-W. Camouflage treatment of posterior bite collapse in a patient with skeletal asymmetry by using posterior maxillary segmental osteotomy. Korean J Orthod. 2020; 50(4): 278–89. doi: https://doi.org/10.4041/kjod.2020.50.4.278
Wang A, Cao J, Zhang H, Zhang B, Yang G, Hu W, Chung K. Three-dimensional position changes of unopposed molars before implant rehabilitation: a short-term retrospective cohort analysis. BMC Oral Health. 2022; 22(1): 562. doi: https://doi.org/10.1186/s12903-022-02619-y
Dersot JM, Giovannoli JL. [Posterior bite collapse. 1. Etiology and diagnosis]. J Parodontol. 1989; 8(2): 187–94. pubmed: http://www.ncbi.nlm.nih.gov/pubmed/2639188
Cunha T de MA da, Barbosa I da S, Palma KK. Orthodontic digital workflow: devices and clinical applications. Dental Press J Orthod. 2021; 26(6): e21spe6. doi: https://doi.org/10.1590/2177-6709.26.6.e21spe6
Christensen LR. Digital workflows in contemporary orthodontics. APOS Trends Orthod. 2017; 7(1): 12–8. doi: https://doi.org/10.4103/2321-1407.199180
Pribadi N, Sukaton S, Sampoerno G, Sylvia S, Kurniawan HJ, Safitri M, Mustika R. The aesthetic management of a midline diastema with direct composite using digital smile design, putty index and button shade technique: A case report. Dent J. 2022; 55(1): 44–8. doi: https://doi.org/10.20473/j.djmkg.v55.i1.p44-48
Yoo S-Y, Kim S-K, Heo S-J, Koak J-Y, Kim J-G. Dimensional accuracy of dental models for three-unit prostheses fabricated by various 3D printing technologies. Materials (Basel). 2021; 14(6): 1550. doi: https://doi.org/10.3390/ma14061550
Etemad-Shahidi Y, Qallandar OB, Evenden J, Alifui-Segbaya F, Ahmed KE. Accuracy of 3-dimensionally printed full-arch dental models: A systematic review. J Clin Med. 2020; 9(10): 3357. doi: https://doi.org/10.3390/jcm9103357
Cai HX, Jia Q, Shi H, Jiang Y, Xue J, Chen C, Gong H, Liu J, Lee E-S, Jiang HB. Accuracy and precision evaluation of international standard spherical model by digital dental scanners. Zhao Y, editor. Scanning. 2020; 2020: 1714642. doi: https://doi.org/10.1155/2020/1714642
D'Arcangelo C, Vadini M, Buonvivere M, De Angelis F. Safe clinical technique for increasing the occlusal vertical dimension in case of erosive wear and missing teeth. Clin Case Reports. 2021; 9(12): e04747. doi: https://doi.org/10.1002/ccr3.4747
Rodriguez JC, Suarez F, Chan H-L, Padial-Molina M, Wang H-L. Implants for orthodontic anchorage: Success rates and reasons of failures. Implant Dent. 2014; 23(2): 155–61. doi: https://doi.org/10.1097/ID.0000000000000048
Barthélemi S, Desoutter A, Souaré F, Cuisinier F. Effectiveness of anchorage with temporary anchorage devices during anterior maxillary tooth retraction: A randomized clinical trial. Korean J Orthod. 2019; 49(5): 279–85. doi: https://doi.org/10.4041/kjod.2019.49.5.279
Tian Y-L, Liu F, Sun H-J, Lv P, Cao Y-M, Yu M, Yue Y. Alveolar bone thickness around maxillary central incisors of different inclination assessed with cone-beam computed tomography. Korean J Orthod. 2015; 45(5): 245–52. doi: https://doi.org/10.4041/kjod.2015.45.5.245
Park JH, Yu J, Bullen R. Camouflage treatment of skeletal Class III malocclusion with conventional orthodontic therapy. Am J Orthod Dentofac Orthop. 2017; 151(4): 804–11. doi: https://doi.org/10.1016/j.ajodo.2016.04.033
Sun J, Lin Y-C, Lee JD, Lee SJ. Effect of increasing occlusal vertical dimension on lower facial form and perceived facial esthetics: A digital evaluation. J Prosthet Dent. 2021; 126(4): 546–52. doi: https://doi.org/10.1016/j.prosdent.2020.07.013
Copyright (c) 2024 Dental Journal
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Every manuscript submitted to must observe the policy and terms set by the Dental Journal (Majalah Kedokteran Gigi).
- Publication rights to manuscript content published by the Dental Journal (Majalah Kedokteran Gigi) is owned by the journal with the consent and approval of the author(s) concerned.
- Full texts of electronically published manuscripts can be accessed free of charge and used according to the license shown below.
- The Dental Journal (Majalah Kedokteran Gigi) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License