Digital lingual appliance combined with micro-screws for the treatment of a skeletal bimaxillary protrusion and ‘gummy’ smile

This case report describes the lingual orthodontic treatment of a 28-year-old female patient who presented with a bimaxillary protrusion malocclusion, a hyperdivergent facial pattern, mentalis strain, and a ‘gummy’ smile. To achieve favourable occlusal and facial results, the four first premolars we...

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Main Authors: Chen Yu Hua, Gao Yuan, He Jiao Jiao, Fu Shan Min, Wang Lei
Format: Article
Language:English
Published: Sciendo 2023-03-01
Series:Australasian Orthodontic Journal
Online Access:https://doi.org/10.2478/aoj-2023-0011
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author Chen Yu Hua
Gao Yuan
He Jiao Jiao
Fu Shan Min
Wang Lei
author_facet Chen Yu Hua
Gao Yuan
He Jiao Jiao
Fu Shan Min
Wang Lei
author_sort Chen Yu Hua
collection DOAJ
description This case report describes the lingual orthodontic treatment of a 28-year-old female patient who presented with a bimaxillary protrusion malocclusion, a hyperdivergent facial pattern, mentalis strain, and a ‘gummy’ smile. To achieve favourable occlusal and facial results, the four first premolars were extracted, and micro-screws utilised to provide maximum anchorage. With the widespread application of three-dimensional technology, a digital goal-oriented treatment plan was applied for its predictability and precision. A fully customised lingual appliance system with preset torque in the anterior teeth combined with ribbon-wise arch wires was placed to prevent excessive lingual inclination of the incisors during retraction. As a result, an attractive facial profile and a well-aligned dentition with ideal intercuspation was obtained.
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spelling doaj.art-e3a64a7c389d4b7ba649def6c8de6dea2023-12-26T07:41:45ZengSciendoAustralasian Orthodontic Journal2207-74802023-03-013919610810.2478/aoj-2023-0011Digital lingual appliance combined with micro-screws for the treatment of a skeletal bimaxillary protrusion and ‘gummy’ smileChen Yu Hua0Gao Yuan1He Jiao Jiao2Fu Shan Min3Wang Lei4Department of Orthodontics, School of Stomatology, Air Force Military Medical University, Xi’an, Shaanxi, ChinaDepartment of Orthodontics, School of Stomatology, Air Force Military Medical University, Xi’an, Shaanxi, ChinaDepartment of Orthodontics, School of Stomatology, Air Force Military Medical University, Xi’an, Shaanxi, ChinaDepartment of Orthodontics, School of Stomatology, Air Force Military Medical University, Xi’an, Shaanxi, ChinaDepartment of Orthodontics, School of Stomatology, Air Force Military Medical University, Xi’an, Shaanxi, ChinaThis case report describes the lingual orthodontic treatment of a 28-year-old female patient who presented with a bimaxillary protrusion malocclusion, a hyperdivergent facial pattern, mentalis strain, and a ‘gummy’ smile. To achieve favourable occlusal and facial results, the four first premolars were extracted, and micro-screws utilised to provide maximum anchorage. With the widespread application of three-dimensional technology, a digital goal-oriented treatment plan was applied for its predictability and precision. A fully customised lingual appliance system with preset torque in the anterior teeth combined with ribbon-wise arch wires was placed to prevent excessive lingual inclination of the incisors during retraction. As a result, an attractive facial profile and a well-aligned dentition with ideal intercuspation was obtained.https://doi.org/10.2478/aoj-2023-0011
spellingShingle Chen Yu Hua
Gao Yuan
He Jiao Jiao
Fu Shan Min
Wang Lei
Digital lingual appliance combined with micro-screws for the treatment of a skeletal bimaxillary protrusion and ‘gummy’ smile
Australasian Orthodontic Journal
title Digital lingual appliance combined with micro-screws for the treatment of a skeletal bimaxillary protrusion and ‘gummy’ smile
title_full Digital lingual appliance combined with micro-screws for the treatment of a skeletal bimaxillary protrusion and ‘gummy’ smile
title_fullStr Digital lingual appliance combined with micro-screws for the treatment of a skeletal bimaxillary protrusion and ‘gummy’ smile
title_full_unstemmed Digital lingual appliance combined with micro-screws for the treatment of a skeletal bimaxillary protrusion and ‘gummy’ smile
title_short Digital lingual appliance combined with micro-screws for the treatment of a skeletal bimaxillary protrusion and ‘gummy’ smile
title_sort digital lingual appliance combined with micro screws for the treatment of a skeletal bimaxillary protrusion and gummy smile
url https://doi.org/10.2478/aoj-2023-0011
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