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SM ISO690:2012 SCURTU, Maria, MODVAL, Vasile, CIUCLEA, Cătălina. Complex orthodontic-surgical approach in the treatment of dentomaxillary anomalies in outpatient conditions. Clinical case. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 541. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 541-541 | ||||||
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Introduction: The success of the treatment of dento-maxillary anomalies is based on a detailed and objective study of the clinical situation to establish the diagnosis and the treatment aims. The complexity of some clinical cases requires an interdisciplinary approach, with facilitative surgeries in orthodontic recovery. Objective of the study: Complex orthodontic-surgical evaluation in the treatment of dento-maxillary anomaly in adults. Material and methods: A 37-years-old female came to the clinic with aesthetic and functional complains. Patient evaluation included subjective, exo- and endooral examination, paraclinical examinations: photometric analysis, biometrics of the model, radiological examinations: TRG, OPG, CBCT. The diagnosis was set: malocclusion class II Angle, associated with compression of the upper jaw, deviation of the aesthetic center, anodontia of tooth 15, inclusion of tooth 33, supernumerary lower incisor, mesioversion of tooth 37. Results: Complex orthodontic-surgical treatment. All third molars, tooth 73 and the supernumerary tooth were extracted preorthodontically. Orthodontic treatment was initiated with fixed braces, associated with surgical exposure of tooth 33 and vestibular osteotomy at the level of teeth 33-37 to facilitate and accelerate orthodontic recovery. The verticalisation of tooth 37 was performed with cortical anchorage, TAD inserted in the retromolar space. Conclusions: The complex orthodonticsurgical approach in the treatment of dento-maxillary anomalies in adults justifies the success and the expected result. |
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Cuvinte-cheie dento-maxillary anomalies, orthodontic appliance, ortodontic and surgical treatment, Anomalie dento-maxilare aparat ortodontic, tratament ortodontic-chirurgical |
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