Interdisciplinary orthodontic and prosthetic treatment of patients with Class 1 Angle malocclusion

Abstract

Introduction: Class 1 Angle malocclusion is a polyetiologic pathology with various clinical situations, this is important to be considered in treatment planning of these patients and it is necessary to determine the etiology and perform a deep clinical examination to obtain the whole information and achieve the expected results. The interdisciplinary orthodontic and prosthetic treatment highly demanded among adult patients. The success of treatment is appreciated functionally, esthetically and gnathologically. Sometimes clinical particularities of the malocclusion don’t allow the prosthetic construction to be functionally and esthetically made, which needs a preliminary orthodontic treatment in order to obtain optimal conditions for patient’s rehabilitation. Purpose and Objectives: The evaluation of interdisciplinary orthodontic and prosthetic treatment applied in the rehabilitation of one patient with first class Angle malocclusion. Material and methods: The report was made on one patient with first class angle malocclusion, treated by the use of fixed orthodontic system (МВТ ™ versatil System) with following fixed prosthetic rehabilitation. The following steps have been performed during the treatment period : x-ray examination teleradiography, Onix-Ceph analyzing program), preliminary impression obtaining and cast pouring, indirect fixation of orthodontic system, periodically activation of orthodontic arches, tooth preparation and impression obtaining with C-class silicone material, the fabrication of fixed prosthetic construction. Results: The initial orthodontic treatment last 1.7 years, patient had been coming to control visits for all treatment period for system activation and dynamic monitoring of the changes during treatment. The contention devise was made at the end of orthodontic treatment. The rehabilitation period of the patient ended once with the fixed prosthesis delivery, which permitted to restore the lost function and esthetic appearance. Conclusion: an important role in class 1 Angle malocclusion treatment, along with conventional treatment, is attributed to noninvasive methods of rehabilitation. The method must be chosen depending on specific clinical case, treatment period, expected results and patients demands.