2.8K
DRSkeletal anchorage represents a fundamental tool in the contemporary management of complex interdisciplinary cases.
Slide 1: This clinical case presents a 50-year-old female patient with generalized tooth wear and failing restorations, resulting in compromised function and aesthetics.
Slide 2: A digital treatment plan was developed, incorporating diagnostic wax-ups based on facial analysis. The decision was made to initiate restorative procedures prior to orthodontic intervention.
Slide 3: Transitional restorations were placed, followed by orthodontic treatment utilizing digital indirect bonding.
Slide 4: When restoring patients in seated condylar position (SCP) with modifications of the vertical dimension of occlusion, mandibular asymmetry frequently manifests as a unilateral Class II malocclusion.
Slide 5: To address the unilateral Class II relationship, skeletal anchorage was selected over Class II elastics to avoid undesirable side effects, particularly upper midline deviation. A 20mm FATscrew was strategically placed in the parasymphyseal region, providing excellent biomechanical control for Class II correction.
Slide 6: The treatment mechanics incorporated a power chain for molar mesialization on the affected side, while an active beta-titanium jig simultaneously repositioned the lower midline.
Slide 7: Upon completion of orthodontic treatment, bilateral Class I molar relationships were achieved with centered dental midlines, allowing the patient to proceed to definitive full-mouth rehabilitation.
Slide 8: Comparative analysis demonstrates significant smile transformation following provisional restoration and orthodontic treatment.
#FATscrew is from Air Orthodontics
#patientcenteredorthodontics #ortodonciabarcelona #ortodonciafriedlander #clinicafriedlander
@dr.friedlander
