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Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

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Asymmetric deep bite with a canted occlusal plane: a case report.

¹Health Sciences Research Center (CICS), Superior Institute of Health Sciences - North, CESPU, Gandra, PRD, Portugal. teresa.pinho@iscsn.cespu.pt

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|June 22, 2013

Summary

This case study demonstrates successful orthodontic treatment of complex asymmetric deep bite malocclusion using specialized mechanics. The approach achieved stable sagittal and vertical occlusal results, offering insights for managing similar challenging cases.

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Area of Science:

Orthodontics
Dental Malocclusion
Biomaterials

Background:

Asymmetric and deep bite malocclusions present significant clinical challenges.
Effective management strategies for combined malocclusions are crucial for successful treatment outcomes.

Observation:

A patient presented with a complex asymmetric deep bite, canted occlusal plane, and Class II/III canine relationships.
Dental midline deviations and a lower premolar impaction contributed to the asymmetry.
A maxillary molar extraction was necessitated by endodontic issues.

Findings:

A straight-wire technique combined with bite turbos and sectional Multiloop Edgewise Arch-Wire (MEAW) mechanics was employed for 18 months.
Specific MEAW activation and tip-back controls were used to increase vertical dimension and correct the Class III malocclusion.
Class II and Class III elastics were utilized to address the sagittal discrepancies.

Implications:

Asymmetric mechanics can effectively resolve complex malocclusions, including deep bites and canted occlusal planes.
This case highlights a viable treatment protocol for managing severe dental asymmetries and sagittal discrepancies.
The findings contribute to the understanding of advanced orthodontic techniques for challenging malocclusion cases.