*Corresponding Author: Panagiotis Kanarelis, Specialist in Orthodontics, Abbeville, France.

Received: June 27, 2024; Published: July 12, 2024

Abstract

Lingual orthodontics represents a significant advancement in dental treatments, particularly for malocclusions and dental anomalies. This article examines its effectiveness when combined with surgical bilateral sagittal split osteotomy (BSSO) in treating severe deep bite and multiple dental agenesis. Dental agenesis, the congenital absence of teeth, poses various challenges due to genetic and environmental factors affecting tooth development. It impacts both primary and permanent dentitions, leading to malocclusions and aesthetic concerns that affect oral health and self-esteem. Treatment options range from orthodontic interventions to prosthodontic rehabilitation and surgical procedures, underscoring the importance of early diagnosis and intervention.
The case report presented highlights the complexities of managing severe deep bite and multiple dental agenesis through a multidisciplinary approach. A severe deep bite, characterized by an excessive vertical overlap of incisors, can cause aesthetic and functional issues, including temporomandibular joint problems. Multiple dental agenesis, the congenital absence of multiple teeth, complicates treatment plans, necessitating innovative rehabilitation strategies. Lingual orthodontics, with its discreet and patient-friendly approach, offers an effective alternative to traditional labial braces, providing aesthetic advantages by placing brackets and wires on the lingual surfaces of teeth. This technique is particularly beneficial in addressing malocclusions and missing teeth with customized treatment plans.
However, the intricate nature of severe deep bite and multiple dental agenesis often requires a combination of orthodontic and surgical interventions. Surgical procedures such as orthognathic surgery and implant placement are crucial for addressing skeletal discrepancies and restoring missing teeth. Coordination between orthodontic and surgical teams is essential for achieving harmonious treatment outcomes, addressing both functional and aesthetic discrepancies.
The case report details the patient's initial condition, treatment planning, and the execution of combined orthodontic and surgical interventions. The patient's journey, including the initial clinical and radiological examination, diagnosis of skeletal Class II malocclusion, and dental-alveolar discrepancies, is thoroughly discussed. The treatment involved using maxillary lingual multi-bracket appliances to prepare the dentition before the surgical phase. This approach aimed to increase lower facial height and achieve skeletal harmonization. The staged treatment plan reflects a modern interdisciplinary approach, highlighting the potential for optimal results in complex orthodontic cases and emphasizing the importance of collaboration in contemporary dental practice.

Keywords: Lingual Orthodontics; Dental Agenesis; Deep Bite; Bilateral Sagittal Split Osteotomy (BSSO); Malocclusion; Orthognathic surgery

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Citation

Citation: Kanarelis Panagiotis., et al. “Lingual Orthodontics and Surgical Solutions for Severe Deep Bite and Multiple Dental Agenesis: Case Report".Acta Scientific Dental Sciences 8.8 (2024): 25-36.

Copyright

Copyright: Kanarelis Panagiotis., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.