Incisor torque recovery in a transfer case with iatrogenic perforation of the labial cortical plate
Journal
AJO-DO Clinical Companion
Journal Volume
4
Journal Issue
3
Start Page
188
End Page
199
ISSN
2666-4305
Date Issued
2024-06
Author(s)
Johnny J.L. Liaw
Shin-Huei Wang
Cheng-Yen Tsai
Greg Huang
Jae Hyun Park
Abstract
This report presents an orthodontic retreatment of a patient seeking a second opinion because of severe retroclination of the maxillary incisors and anterior crossbite. Perforation of the labial cortical plate by the roots of the maxillary incisors was noted. The patient declined a surgical approach, so skeletal anchorage was planned to regain the incisor torque and improve the facial profile. The orthodontic treatment successfully repositioned the maxillary incisor roots within the alveolar bone. The facial profile was improved significantly through active vertical control. This report emphasizes the significance of torque control during space closure and the potential for active vertical control to enhance the profile. Overall, treatment stability was good after 1 year of retention.
Publisher
Elsevier BV
Type
journal article