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Bone vs. bite: correcting a dental cross-bite using a Kois deprogrammer
1Private Practice, Grand Forks, British Columbia, Canada.
Abstract:
A patient presented with esthetic concerns that he believed would require lengthy orthodontic treatment, as well as jaw surgery, in order to correct. Functional analysis, however, indicated a cross-bite that was being caused by a functional shift rather than by skeletal asymmetry. Utilizing a simple restorative approach, the case was treated by equilibration of the dentition with the use of a Kois deprogrammer. The treatment plan involved mocking up restorations in composite to establish stable occlusion and quadrant dentistry to replace existing, questionable dental restorations. In the end, significant esthetic improvement was achieved in a highly conservative manner.
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