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Mixed dentition case report

S A Dugoni1, J S Lee

  • 1Department of Orthodontics, University of the Pacific, South San Francisco, Calif.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|March 1, 1995
PubMed
Summary

Early orthodontic treatment, known as phase I mixed dentition therapy, effectively corrects malocclusions in children. This approach significantly reduces the need for extensive future orthodontic interventions.

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Area of Science:

  • Orthodontics
  • Pediatric Dentistry

Background:

  • Malocclusions can be addressed with early intervention.
  • Phase I mixed dentition therapy corrects skeletal and dental issues in children.

Observation:

  • Treatment duration for Phase I is 12-18 months, followed by a 18-30 month supervision phase.
  • Effective management during supervision is crucial for maintaining results and minimizing Phase II treatment.
  • A case study involved a patient with a severe skeletal ANB angle discrepancy, vertical growth pattern, and significant overjet.

Findings:

  • Phase I treatment successfully reduced the severity of the malocclusion.
  • Reduction of vertical anterior maxillary excess was achieved and remained stable.
  • Comprehensive orthodontic treatment and surgery were not recommended due to the successful early treatment outcome.

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Implications:

  • Early orthodontic intervention can significantly decrease the need for extensive treatment in permanent dentition.
  • Mixed dentition treatment is a vital component of orthodontic graduate programs.
  • Utilizing growth potential through early treatment (ages 7-9) is a key philosophy.