Linares TSM, Ruiz DR, Uribe-Querol E

Language: Spanish
References: 19
Page: 47-55
PDF size: 625.03 Kb.

ABSTRACT

An orthodontic case report is presented. The patient was a 12 year old autistic male with class II, augmented overjet, vertical growth and anterior open bite. He also exhibited tongue-thrust habit. A surgical treatment was ideal for this case but because of his neurological problem, it was decided to use an alternative orthodontic treatment. The orthodontic treatment included: Hyrax, high-pull-headgear, double transpalatal bar with acrylic button and elastics. After a three year treatment, class I approximation was obtained, open bite was corrected and vertical growth was controlled. The patient’s tongue-thrust habit was controlled using a wrap-around retainer with tongue corrector. This retainer was placed on the maxillary arch and on the lower, a lingual bonded retainer was used. The camouflage orthodontic treatment was successful because good behavioral techniques for autism patients were used.

REFERENCES

1. Vellini-Ferreira F. Ortodoncia. Diagnóstico y planificación clínica. Sao Paulo, Brazil: Editorial. Artes Médicas Latinoamericanas; 2002.

2. Firouz M, Zernik J, Nanda R. Dental and orthopedic effects of high-pull headgear in treatment of class II, division 1 malocclusion. Am J Orthod Dentofacial Orthop. 1992; 102 (3): 197-205.

3. Graber T, Graber TM. Ortodoncia: teoría y práctica. 3a ed. México: 1974. Editorial Interamericana.

4. Rodríguez EWL, Araujo R, Rivas Z, Gómez A. Ortodoncia contemporánea. Diagnóstico y tratamiento. 2a ed. Venezuela: 2008. Editorial AMOLCA.

5. Björk A. Prediction of mandibular growth rotation. Am J Orthod. 1969; 55 (6): 585-599.

6. Iscan HN, Sarisoy L. Comparison of the effects of passive posterior bite-blocks with different construction bites on the craniofacial and dentoalveolar structures. Am J Orthod Dentofacial Orthop. 1997; 112 (2): 171-178.

7. Hotokezaka H, Matsuo T, Nakagawa M, Mizuno A, Kobayashi K. Severe dental open bite malocclusion with tongue reduction after orthodontic treatment. Angle Orthod. 2001; 71 (3): 228-236.

8. Nielsen IL. Vertical malocclusions: etiology, development, diagnosis and some aspects of treatment. Angle Orthod. 1991; 61 (4): 247-260.

9. Richardson A. Skeletal factors in anterior open-bite and deep overbite. Am J Orthod. 1969; 56 (2): 114-127.

10. Sandler PJ, Madahar AK, Murray A. Anterior open bite: aetiology and management. Dent Update. 2011; 38 (8): 522-524, 7-8, 31-32.

11. Kuhn RJ. Control of anterior vertical dimension and proper selection of extraoral anchorage. Angle Orthod. 1968; 38 (4): 340-349.

12. Smithpeter J, Covell D. Relapse of anterior open bites treated with orthodontic appliances with and without orofacial myofunctional therapy. Am J Orthod Dentofacial Orthop. 2010; 137 (5): 605-614.

13. Olsen CB. Anterior crossbite correction in uncooperative or disabled children. Case reports. Aust Dent J. 1996; 41 (5): 304-309.

14. Morrison J. Book review: open-bite malocclusion: treatment and stability. Br Dent J. 2014; 216 (11): 609.

15. Spena R, Gracco A. Vertical control in non extraction treatment of growing patients with anterior skeletal open bite. J Clin Orthod. 2008; 42 (8): 443-449.

16. Fahlvik-Planefeldt C, Herrström P. Dental care of autistic children within the non-specialized. Public dental service. Swed Dent J. 2001; 25 (3): 113-118.

17. Ayers KM, Meldrum AM, Harding WJ, Quick AN. Management of a simple anterior crossbite in a child with autism: a review and case report. N Z Dent J. 2003; 99 (3): 72-75.

18. Wu IM, King NM, Rabie AB. Surgical-orthodontic management of a child with autism. J Clin Orthod. 2005; 39 (2): 103-108.

19. Vittek J, Winik S, Winik A, Sioris C, Tarangelo AM, Chou M. Analysis of orthodontic anomalies in mentally retarded developmentally disabled (MRDD) persons. Spec Care Dentist. 1994; 14 (5): 198-202.