International Journal of Clinical Oral and Maxillofacial Surgery

Research Article | | Peer-Reviewed |

Type II Error (Tooth Combination) Deformity Posterior Tooth Locking Treatment: A Case Report

Received: Mar. 18, 2023    Accepted: Apr. 06, 2023    Published: Nov. 09, 2023
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Abstract

Research background: Ander II errors (tooth combination) deformities are often regarded as a simple type of wrong (tooth combination), but clinically they contain various inconsists between sagittal, horizontal, vertical three-dimensional bones and arch relationships. All treatment methods can significantly improve the sagittal relationship, that is, to achieve the overall beauty, and the child's face can achieve a normal aesthetic effect. Research methods: The patient missed the opportunity to use functional treatment and commonly used appliances due to the age of more than 15 years old and various factors such as tooth extraction in other dental hospitals. We explored and analyzed the effect of implant nail to strengthen the treatment of a 16-year-old teenager with type II malformation (dentalization) deformity. The patient was treated for a total of 2.5 years. Objective: We are active in early treatment when adolescents have Class II errors (tooth combination) deformations. Such patients can be given functional treatments and functional corrective devices. Results: Pre-treatment reference indicators and models of patients; Bolton ratio: anterior tooth ratio of 75.5%, total tooth ratio of 89.5%, steep mandibular Speed curve; 37, 47 tongue inclination, 17/47, 27/37 locking, deep cladding coverage of the anterior teeth III degrees, pointed tooth relationship: left neutral relationship, right far-China relationship, molar relationship: left neutral remote-China relationship, right far-China relationship. Reference indicators and models after treatment of patients; reduction of anterior tooth cover, opening of deep cladding and occlusal, and lifting of locking of posterior teeth, so the upper anterior teeth 2-2 bonding fixed flat guide, opening and occlusalization, and 17/47 and 27/37 locking. 36. 46 Elevate the jaw pad, but leave the upper and lower occlusal surface 1-1.5mm, which is convenient for the patient to eat and raise the posterior teeth. Retract the anterior teeth with implant nails to reduce the coverage of the anterior teeth. Interactive traction of the second molar on both sides, unlocked. Combined with maxillary implant nails, the upper jaw posterior teeth are lowered to reduce the elongation of the upper and posterior teeth during interactive traction. The ANB angle is improved, and the inclination of the upper and lower anterior lip is basically normal.

DOI 10.11648/j.ijcoms.20230902.12
Published in International Journal of Clinical Oral and Maxillofacial Surgery ( Volume 9, Issue 2, December 2023 )
Page(s) 13-23
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Ander's Class II Error Deformity, Anterior Tooth Deep Cladding Coverage, Posterior Tooth Locking, Mandibular Contraction, Orthodontic Treatment, Implant Nail Strengthening Support Therapy, Oral Malformation

References
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[2] Liu Juan. Comparative study on the clinical efficacy of Andi II Class I classification error (tooth combination) maxillary single and double jaw extraction [J]. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine, 2020, 24 (7): 124-125.
[3] Liu Xin, Duan Yinzhong, Liu Lan, etc. Application of movable inclined guide plate in the treatment of adult Ander II postmandibular shrinkage and deep cladding in adults [J]. Chinese Aesthetic Medicine, 2021 (1): 71-72.
[4] Wang Zhaolin, Zhao Jian, Zhang Linkun, Xu Li, Liu Jie. Clinical experience of adult An's II~2 wrong tooth extraction orthodontic treatment [J]. Henan Medical Research, 2022, (04): 363-364+370.
[5] Sun Huachang, Wu Pinlin, Li Chuheng. Analysis of the relationship between upper airway morphological function index and sleep oxygenation index and hyoid position index in patients with Andi II deformity [J]. World Journal of Sleep Medicine, 2022, 9 (09): 1684-1687.
[6] Ma Linsha, Fan Xiaochuan, Zhang Ning, Zhang Qing, Xiaohui RAUSCH-FAN, Huang Xiaofeng. Morphological analysis of temporomandibular joint fossa in patients with bone Class I and Andi II deformities based on conical bundle CT [J]. Chinese Journal of Practical Stomatology, 2022, 15 (04): 429-435.
[7] Peng Wenwen, Yang Wentao, Ye Huandi, etc. Orthodontic efficacy and aesthetic observation of Class II wrong tooth deformations in adolescents [J]. Chinese Aesthetic Medicine, 2021, 30 (11): 124-127. DOI: 10.15909/j.cnki.cn61-1347/r.004748.
[8] Wang Shengxiang. Combined treatment of fixation orthodontics and maxillofabular reconstruction in the treatment of Andi II Class 2 classification errors (tooth combination) deformities with temporomandibular joint dysfunction [D]. Fujian Medical University, 2021. DOI: 10.27020/d.cnki.gfjyu.2021.000579.
[9] Chen Guanhua, Chen Zongfei, Zhang Duanqiang. Measurement and analysis of the relationship between Andr's Class II and Class III deformed arches and the basal arch [J]. Journal of Fujian Medical University, 2020, 54 (01): 53-56.
[10] Liu Xiaoli and Tan Guangyou. Comparison of the efficacy of straight wire bow orthodontic appliance and Begg orthodontic device in the treatment of Class II Class 1 Classification Wrong Toothodontic Deformity [J]. Chinese Aesthetic Medicine, 2020, 29 (02): 119-122. DOI: 10.15909/j.cnki.cn61-1347/r.003601.
[11] Chen Liangjiao, Wang Chaojian, He Jingyi, etc. CBCT study on the amount of incisors and root changes in Andria II class 1 [J]. Oral Medical Research, 2023, 35 (08): 794-797. DOI: 10.13701/j.cnki.kqyxyj.2019.08.017.
[12] Tang Wanhong, Lin Juhong. Comparison of Class II classification and normal combined arch width and palate morphology in the early dentition [C]// Children's Oral Medicine Professional Committee of the Chinese Oral Medicine Association, China International Science and Technology Exchange Center. Compilation of papers of the 2019 Children's Oral Medicine Professional Committee of the Chinese Oral Medicine Association High-end Forum on the Progress and Development of Children's Oral Medicine [Publisher unknown], 2019: 8. DOI: 10.26914/c.cnkihy.2021.025780.
[13] Yu Zeng, Ningjing Zhu, Yangruoxuan Liu, Xiaoxuan Wang, Hui Xiong, Zhengguo Cao. Periodontally accelerated osteogenic orthodontic technique assisting in the treatment of skeletal class II malocclusion: A case report [J]. Chinese Journal of Stomatological Continuing Education, 2023, 26(1): 25-38.
[14] Yu Feng, He Changping, Yang Jingyun, Zhang Xiangfeng, Huang Qianqian. An example of orthodontic treatment of pelvic type II mandibular posterior contraction with anterior teeth [J]. Chinese Journal of Continuing Oral Medicine, 2021, 24(5): 328-332.
[15] Peng Wenbo, Miao Ying, Wu Xuexun. Changes in the jaw structure of Forsus push rod appliance type II error [J]. Journal of Practical Oral Medicine, 2022(5): 660-663.
[16] Chen Xiaomin, Hong Hong, Zheng Jinxuan, etc. Johnston analysis to evaluate the effect of SUS^2 orthodontic type II wrong teeth [J]. Journal of Clinical Oral Medicine, 2020 (12): 755-758.
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    Jin Ling, L., Florenly, Chao, L. (2023). Type II Error (Tooth Combination) Deformity Posterior Tooth Locking Treatment: A Case Report. International Journal of Clinical Oral and Maxillofacial Surgery, 9(2), 13-23. https://doi.org/10.11648/j.ijcoms.20230902.12

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    ACS Style

    Jin Ling, L.; Florenly; Chao, L. Type II Error (Tooth Combination) Deformity Posterior Tooth Locking Treatment: A Case Report. Int. J. Clin. Oral Maxillofac. Surg. 2023, 9(2), 13-23. doi: 10.11648/j.ijcoms.20230902.12

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    AMA Style

    Jin Ling L, Florenly, Chao L. Type II Error (Tooth Combination) Deformity Posterior Tooth Locking Treatment: A Case Report. Int J Clin Oral Maxillofac Surg. 2023;9(2):13-23. doi: 10.11648/j.ijcoms.20230902.12

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  • @article{10.11648/j.ijcoms.20230902.12,
      author = {Li Jin Ling and Florenly and Liu Chao},
      title = {Type II Error (Tooth Combination) Deformity Posterior Tooth Locking Treatment: A Case Report},
      journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
      volume = {9},
      number = {2},
      pages = {13-23},
      doi = {10.11648/j.ijcoms.20230902.12},
      url = {https://doi.org/10.11648/j.ijcoms.20230902.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcoms.20230902.12},
      abstract = {Research background: Ander II errors (tooth combination) deformities are often regarded as a simple type of wrong (tooth combination), but clinically they contain various inconsists between sagittal, horizontal, vertical three-dimensional bones and arch relationships. All treatment methods can significantly improve the sagittal relationship, that is, to achieve the overall beauty, and the child's face can achieve a normal aesthetic effect. Research methods: The patient missed the opportunity to use functional treatment and commonly used appliances due to the age of more than 15 years old and various factors such as tooth extraction in other dental hospitals. We explored and analyzed the effect of implant nail to strengthen the treatment of a 16-year-old teenager with type II malformation (dentalization) deformity. The patient was treated for a total of 2.5 years. Objective: We are active in early treatment when adolescents have Class II errors (tooth combination) deformations. Such patients can be given functional treatments and functional corrective devices. Results: Pre-treatment reference indicators and models of patients; Bolton ratio: anterior tooth ratio of 75.5%, total tooth ratio of 89.5%, steep mandibular Speed curve; 37, 47 tongue inclination, 17/47, 27/37 locking, deep cladding coverage of the anterior teeth III degrees, pointed tooth relationship: left neutral relationship, right far-China relationship, molar relationship: left neutral remote-China relationship, right far-China relationship. Reference indicators and models after treatment of patients; reduction of anterior tooth cover, opening of deep cladding and occlusal, and lifting of locking of posterior teeth, so the upper anterior teeth 2-2 bonding fixed flat guide, opening and occlusalization, and 17/47 and 27/37 locking. 36. 46 Elevate the jaw pad, but leave the upper and lower occlusal surface 1-1.5mm, which is convenient for the patient to eat and raise the posterior teeth. Retract the anterior teeth with implant nails to reduce the coverage of the anterior teeth. Interactive traction of the second molar on both sides, unlocked. Combined with maxillary implant nails, the upper jaw posterior teeth are lowered to reduce the elongation of the upper and posterior teeth during interactive traction. The ANB angle is improved, and the inclination of the upper and lower anterior lip is basically normal.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Type II Error (Tooth Combination) Deformity Posterior Tooth Locking Treatment: A Case Report
    AU  - Li Jin Ling
    AU  - Florenly
    AU  - Liu Chao
    Y1  - 2023/11/09
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijcoms.20230902.12
    DO  - 10.11648/j.ijcoms.20230902.12
    T2  - International Journal of Clinical Oral and Maxillofacial Surgery
    JF  - International Journal of Clinical Oral and Maxillofacial Surgery
    JO  - International Journal of Clinical Oral and Maxillofacial Surgery
    SP  - 13
    EP  - 23
    PB  - Science Publishing Group
    SN  - 2472-1344
    UR  - https://doi.org/10.11648/j.ijcoms.20230902.12
    AB  - Research background: Ander II errors (tooth combination) deformities are often regarded as a simple type of wrong (tooth combination), but clinically they contain various inconsists between sagittal, horizontal, vertical three-dimensional bones and arch relationships. All treatment methods can significantly improve the sagittal relationship, that is, to achieve the overall beauty, and the child's face can achieve a normal aesthetic effect. Research methods: The patient missed the opportunity to use functional treatment and commonly used appliances due to the age of more than 15 years old and various factors such as tooth extraction in other dental hospitals. We explored and analyzed the effect of implant nail to strengthen the treatment of a 16-year-old teenager with type II malformation (dentalization) deformity. The patient was treated for a total of 2.5 years. Objective: We are active in early treatment when adolescents have Class II errors (tooth combination) deformations. Such patients can be given functional treatments and functional corrective devices. Results: Pre-treatment reference indicators and models of patients; Bolton ratio: anterior tooth ratio of 75.5%, total tooth ratio of 89.5%, steep mandibular Speed curve; 37, 47 tongue inclination, 17/47, 27/37 locking, deep cladding coverage of the anterior teeth III degrees, pointed tooth relationship: left neutral relationship, right far-China relationship, molar relationship: left neutral remote-China relationship, right far-China relationship. Reference indicators and models after treatment of patients; reduction of anterior tooth cover, opening of deep cladding and occlusal, and lifting of locking of posterior teeth, so the upper anterior teeth 2-2 bonding fixed flat guide, opening and occlusalization, and 17/47 and 27/37 locking. 36. 46 Elevate the jaw pad, but leave the upper and lower occlusal surface 1-1.5mm, which is convenient for the patient to eat and raise the posterior teeth. Retract the anterior teeth with implant nails to reduce the coverage of the anterior teeth. Interactive traction of the second molar on both sides, unlocked. Combined with maxillary implant nails, the upper jaw posterior teeth are lowered to reduce the elongation of the upper and posterior teeth during interactive traction. The ANB angle is improved, and the inclination of the upper and lower anterior lip is basically normal.
    
    VL  - 9
    IS  - 2
    ER  - 

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Author Information
  • Clinical Dentistry, Specialization of Dental Medicine, Faculty of Medicine, Dentistry, and Health Science, University Prima Indonesia, Medan, Indonesia

  • Clinical Medicine, Specialization of Surgery, Faculty of Medicine, Dentistry, and Health Science, University Prima Indonesia, Medan, Indonesia

  • Clinical Dentistry, Specialization of Dental Medicine, Faculty of Medicine, Dentistry, and Health Science, University Prima Indonesia, Medan, Indonesia

  • Section