Patient Details
Age: 34 years old Gender: Female Chief complain: Anterior openbite and severe mandibular joint clicking with pain
Diagnosis
Anterior openbite 3-4mm
Slight crowding in upper anteriors
Class I canine and molar relationship on right side
Slight class II canine relation left side
Right condyle mild dislocation on mouth opening
CMD
Tongue thrust habit on swallowing.
Treatment planning
We will start with Aquasplint for 1.5 months to eliminate the mandibular jaw dysfunction symptoms. Bluegrass appliance will be used for 4-6 months to treat the tongue thrust habit. Then Clear aligner treatment using K Clear from K Line Europe follows in sequence. Number of aligners: Upper: 14 upper and 14 lower aligners Total 12 months treatment
Treatment objective
Align upper teeth
Treat the CMD
Treat the tongue thrust habit
Close the anterior openbite.
Results and conclusion posttreatment
Attachments were placed on the buccal teeth for intrusion. The intrusive effect of the posteriors relieved the TMJ and put condyle in a favorable position. The intrusion of the posteriors helped as well in the anterior openbite closure in only 6 months after finishing the Bluegrass appliance treatment. The Condyles position were significantly corrected and the patient doesn’t have pain nor TMJ clicking anymore on mouth opening.
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