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| 9/3/2012 5:41:35 PM | Meng Chieh Lee | | Considerations for deep bite treatment in adult patient | | Dear Wendy,
Did not check this post for while. Thank you very much for your tip! | | Register For Free To Reply |
| 7/14/2012 2:02:11 PM | Wendy AuClair | | Considerations for deep bite treatment in adult patient | | Another option you can consider is an occlusal appliance instead of bonding. If you cross-mount your lower pre-treatment cast to your upper wax-up cast, you can fabricate an occlusal day guard (similar in design to a Gelb) to replicate your desired vertical. | | Register For Free To Reply |
| 7/8/2012 10:02:32 AM | Meng Chieh Lee | | Considerations for deep bite treatment in adult patient | | Thank you very much Dr. Goldstein. That is my concern too. I was gonna temporize them with crowns but the Orthodontist doesn't like it. I will definitely try indirect restorations. | | Register For Free To Reply |
| 7/6/2012 1:52:24 PM | Ronald Goldstein | | Considerations for deep bite treatment in adult patient | | My only comment refers to the use of composite resin for initial bite opening procedure....I have done this in many cases and the result is an early breakdown of the composite resin depending on the thickness of the opening. My best results were making them indirect and processing the composite in the laboratory. Hope this helps. | | Register For Free To Reply |
| 6/24/2012 11:11:03 AM | Meng Chieh Lee | | Considerations for deep bite treatment in adult patient | | Thank you Band. Is there a good article or textbook to give me some general understanding about TADs as a prosthodontist? | | Register For Free To Reply |
| 6/24/2012 10:14:55 AM | Band Ditto64 | | Considerations for deep bite treatment in adult patient | | Orthodontic Wax up would allow you to know final proposed teeth positions at end of ortho treatment which would allow for more precise initial implant placement for anchorage.
TADS in Maxillary Anterior would assist in intrusion mechanics other wise placement in posterior areas would allow for utility archwires to be utilized to intrude and procline anterior segment and allow for correction of deep bite.
good luck
Band | | Register For Free To Reply |
| 6/24/2012 9:16:15 AM | Meng Chieh Lee | | Considerations for deep bite treatment in adult patient | | 56 year old Caucasian male presented with severe Class II Div II malocclusion and collapsed vertical space.
CC: unable to chew. Pt has low expections on esthetics.
Inital treatment plan:
1. Combination of chariside composite onlays on lower molars and upper interim partial to re-establish VOD and occlusal plane. Also to test pt's tolerance on new VOD.
2. Implant and augmentation therapy on upper posterior region. Pt prefers not to have sinus lift.
3. Orthodontic treatment: molar uprighting. Intrusion and proclination of upper anteriors followed by lower anteriors. Plus closure of diastema. Crown lenghtening and selective endo may be used to compensate for intrusion if less than expected.
4. Fixed restorations.
Questions:
1. The Orthodontist does not feel comfortable dealing with mini-implants or TADs. So we are thinking of using the regular implants as orthodontic anchorage in addition to #2. Is there any kind of implant abutment can be used for this purpose? (I am planning to use Straumann bone level) or I can make temporary crowns for brackets to be bonded to when implants heal? Where would be the best anchorage position?
2. For me it seems to be much harder to plan a guide for implant placement when upper anterior position is to be changed. Any way to better manage this instead of eyeballing and guessing? | | Register For Free To Reply |
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