Patients information
Age: 34 years Gender: female Chief complaint: Anterior open bite and severe cracking in the mandibular joint with pain
Diagnosis
Anterior open bite, 3-4mm
Slight crowding in the upper anterior teeth
Class I canine and molar relation on the right side
slight class II canine relation
slight displacement of the condyle when opening the mouth
craniomandibular dysfunction
tongue thrust during swallowing
Treatment plan
To begin treatment, we use Aquasplint for 1.5 months to eliminate the symptoms of mandibular dysfunction. The Bluegrass appliance is used for 4-6 months to correct the habits of the tongue. This is followed by clear aligner treatment with K Clear from K Line Europe.
Number of aligners:
Upper jaw: 14 aligners
Lower jaw: 14 aligners
Total duration: 12 months
Treatment target
straighten teeth in the upper jaw
treat craniomandibular dysfunction
correct tongue thrust
correct anterior open bite
Results and conclusion after treatment
Attachments were placed on the buccal teeth for intrusion. The intrusive effect of the posterior teeth relieved the temporomandibular joint and brought the condyle into a favorable position.
The intrusion of the posterior teeth also helped close the anterior open bite only six months after completion of treatment with the Bluegrass appliance.
The condylar position has been significantly corrected and the patient has no pain, nor is the cracking of the jaw heard when opening the mouth.
Patient photos
