Correction of crowding teeth in adults, simple approaches. Case report

Doris Mingomataj1, Edlira Baruti2

1Department of Stomatology, Albania University, Tirana, Albania

2Department of Stomatology, American University of Tirana, Albania

PorcelanVeneeres

Direct Composit

Restauration

Reconturingof tooth

Striping

Krown

Crowding-Overlapping

Teeth

NiTi 0.014 retainer

Regular Orthodontics

?

Backgraund

INTRODUCTION: Many patients have slightly crowded or overlapping anterior teeth. There is no doubt that the best way to treat the anterior crowding in the upper and in the lower arches requires the bonding of brackets to the teeth. However, often the adult patients are unable to accept this comprehensive orthodontic procedure. Choosing the correct approach is the most important aspect of the treatment. The aim of this cases report presentation is to explain different clinical applications, from minor tooth movement by using a 0.014 NiTi at lingual/palatine arches, restorations using bonding, laminate or crowning, to recontouring /striping, extraction or a combination of these procedures, in order to achive correction of the crowded teeth.CASE PRESENTATIONS: We established the most appropriate approach for the potential treatment options thorough evaluation of the patient needs and expectations. This treatment enabled a good tooth alignment in a short period of time and a very good aesthetic in such simple ways. Our results will be presented through different case reports.

Keywords: Crowded/ overlapping teeth, adults, different clinical applications, 0.014 Niti wire, simple/short time treatment, aesthetic results

A. G. 31 Year Male

Diagnoza

•Open Bite •Super Cl I •Missing 13

Before

AfterTreatme

nt •Porcelan laminate veneers•Implant at 13

position•4/5 crowns at

14,24, 252 years later

Diagnosis: • Dissaligned anterior teeth• Crowded anterior inferior teeth

Treatment:• 11, 21, Porcelain

laminate veneers• Reconturing of lower

anterior teeth

M. K. 34 Years Female

Before

Few years later

After

Treatment time:

• 2 weeks

Diagnosis: • Disaglined theeth• Missing teeth

Treatment:• Endodontics &

restaurations• Crowns, brige • Implant at 36

W. H. 54 Years Male

Before After

Treatment time:• 3 months

Diagnosis: • Anterior crowding teeth

Treatment:• Direct composite

restauration

V. S. 28 Vjeç Femer

Before After

Treatment time: • One stop

Diagnoses: • Anterior crowding teeth • Posterior crossbite• Oclusale interference• 36 Continuos failure of restauration• TMD Treatment:

Stage I:

• Direct restoration• Fixed

prosthodontics Stage II: • Orthodontics

I. T. 25 Vjeç Femer

Treatment time: • Almost 5 months

Aim: Correction of: • Posterior crossbite• Oclusale interference

Stage I:

• Direct restoration• Fixed

prosthodontics

I. T. 25 Years Female

Before After

Treatment time: • 9 days (3 stops)

Orthodontic Stage:• Upper NiTi 0.014

retainer• TMJ appl at the end

I. T. 25 Vjeç Femer

Treatment tjme: • Almost 4 months

Aim: Correction of: • Anterior crowding teeth

I. T.

Before After

Diagnoses: • Anterior disaglined teeth • Oclusale interference• TMD • Early missing of 36, 46 Treatment:Stage I:

• Orthodontics Stage II: • Direct restoration• Fixed prosthodontics

Treatment time:• Nearly 3 months

Before After

D. S. 26 Year Female

Treatment:

Stage I

• Direct composit restauration (Lower)

• Upper Ni Ti 0,014 retainer

• Fiber reinforced splinting

Stage II

• Fixed prosthodontics

D. S. 26 Year Female

Before After

Sta

ge

IS

tag

e

II

D. S. 26 Year Female

Before After

L. LL. 30 Year Female

Diagnoses: • Cl. II malocclusion • Slight anterior crowding• Already treated orthodonticly

Treatment:• Upper Ni Ti 0,014

retainer • Reshape after

aglinement• TMD appliance

Treatment time:• Nearly 3 months (3

stops)

L. LL. 30 Year Female

Treatment:• Upper Ni Ti 0,014

retainer • Reshape after

aglinement• TMD appliance

Treatment time:• Nearly 3 months• 3 stops

L. LL. 30 Year Female

Before After

L. B. 35 Years Male

Diagnosis: • 12 – infraocclusal position• Incisal interferences Treatment:• Intrusion of 12 using:NiTi 0.014 retainer (Light Forces)• Fiber reinforced splinting

Treatment time:

• 1 month• 2 stop

Before After

L. B. 35 Years Male

Diagnosis: • Crowded anterior teeth• Cl. I molar relationship Treatment:• Alignement using:• Striping• Duble NiTi 0.014

retainer• Fiber reinforced

splinting

E. J. 35 Years Female

Before

Treatment time:

• 9 months

E. J. 35 Years Female

After

E. J. 35 Years Female