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KMID : 0362720190570060333
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Journal of the Korean Dental Association
2019 Volume.57 No. 6 p.333 ~ p.343
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TAD driven whole dentition distalization with special considerations for incisal/gingival display and occlusal canting
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Paik Chel-Ho
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Abstract
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Many orthodontists face difficulties in aligning incisors in an esthetically critical position, because the individual perception of beauty fluctuates with time and trend. Temporary anchorage device (TAD) can aid in attaining this critical incisor position, which determines an attractive smile, the amount of incisor display, and lip contour. Borderline cases can be treated without extraction and the capricious minds of patients can be satisfied with regard to the incisor position through whole dentition distalization using TAD. Mild to moderate bimaxillary protrusion cases can be treated with TAD-driven en masse retraction without premolar extraction. Patients with Angle’s Class III malocclusion can be the biggest beneficiaries because both sufficient maxillary incisal display, through intrusion of mandibular incisors, and distalization of the mandibular dentition are successfully achieved. In addition, TAD can be used to correct various other malocclusions, such as canting of the occlusal plane and dental/alveolus asymmetry.
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KEYWORD
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Temporary anchorage device (TAD), Whole dentition distalization, Incisal display
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