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Temporary tongue thrust: failure during orthodontic treatment
Thosapol Piyapattamin1, Kunimichi Soma, Masataka Hisano
1Faculty of Dentistry, Naresuan University, Thailand. thosort1@yahoo.com
Australian Orthodontic Journal
|December 28, 2002
Summary
Orthodontic treatment for bimaxillary protrusion can be complicated by unexpected oral habits. Promptly reassessing the treatment strategy when a tongue thrust emerges during canine distalization is crucial for successful outcomes.
Area of Science:
- Dentistry
- Orthodontics
- Oral Medicine
Background:
- A 25-year-old male presented with bimaxillary dento-alveolar protrusion, anterior crowding, and significant overbite/overjet, classified as Angle Class I relation and skeletal Class I occlusion.
- The patient sought orthodontic treatment to address these dental and skeletal discrepancies.
Observation:
- During the distal movement of the canines, occlusal interferences were noted between the teeth.
- Concurrently, the patient developed a tongue thrust habit, an unusual oral habit that emerged during the active phase of orthodontic treatment.
Findings:
- Correction of the applied orthodontic forces resolved the occlusal interferences and led to the completion of canine distalization.
- The observed tongue thrust habit ceased after the orthodontic forces were adjusted and corrected.
Implications:
- This case highlights the importance of recognizing and managing iatrogenic or emergent oral habits during orthodontic therapy.
- Clinicians should be prepared to immediately reconsider and modify the orthodontic treatment strategy if unusual oral habits arise, ensuring treatment efficacy and stability.