Correction Of Multiple Diastema Relationships And Malposition Of Individual Teeth Using A Removable Appliance

Jihan Salma Nur Anisah; Reni Kurniasari

doi:10.55227/ijhet.v5i4.1282

Authors

Jihan Salma Nur Anisah Dental Student Professional Program, Faculty of Dentistry, Universitas Muhammadiyah Surakarta, Indonesia
Reni Kurniasari Department of Orthodontic, Faculty of Dentistry, Universitas Muhammadiyah Surakarta, Indonesia

DOI:

https://doi.org/10.55227/ijhet.v5i4.1282

Keywords:

Diastema, Malposition of teeth, Removable Orthodontic Treatment, Orthodontic Appliance, PAR Index

Abstract

Individual tooth misalignment and the presence of several diastemas in the anterior region can have an impact on esthetics, occlusal function, and self-confidence. This case report covers the treatment of these disorders with removable orthodontic appliances for the upper and lower jaws. Female patient had complained about the uneven alignment of her front teeth since high school, but she felt no pain. The examination indicated an Angle Class I subdivision malocclusion with a Class I skeletal connection, as well as distortion, rotation, and torsion in multiple anterior teeth and premolars. The treatment used an acrylic plate, an Adams clasp, a labial arch, a Z-spring, a finger spring, and a T-spring. The appliance was turned on during more than ten visits that took place over a period of nine months and was used for six months. The evaluation revealed that several front teeth had moved inward, but complete correction has not been fully reached yet. The Peer Assessment Rating score went down from 17-10, which shows a 41% improvement. Removable orthodontic appliances can slowly help improve the condition. Success relies on accurate diagnosis, proper design of the appliance, effective activation, and the patient's ongoing cooperation to avoid the problem coming back.

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