Treatment of Angle

Malocclusion Class 1
Type 1 Using Removable
Orthodontic Appliance

Gadis Multi Sari 2195020

Pembimbing: Evelyn Eunike, drg. Sp.Ort
Introduction
 Introduction
In the modern era, the need and demand for orthodontic
treatment is increasing. This is due to the fact that
society realizes irregular teeth especially with
abnormality of the face caused by jaw alignment will
greatly affect the appearance.

Malocclusion
 Introduction
Removable Orthodontic Appliance à an appliance by
means of which mild pressure may be applied to a tooth
or a group of teeth in a predetermined direction.

This appliances can be

inserted and removed by the
patient
 Case
Report
 Case Report

A 22 year old male patient presented with a chief complaint of maxillary

diastema and mandibular crowded and its un aesthetic appearance. A

detailed case history was taken, the patient had no significant medical and

dental history and had no bad oral habits

Extra Oral Examination

Facial Type: Symmetric

Facial Profle: Convex
Lips: Normal
TMJ: No clicking, Deviation to the left 2mm
 Intra Oral Examination

Intra Oral
 Intra Oral Examination
Gigi Malposisi Gigi Malposisi
11 TAK 21 TAK
12 TAK 22 TAK
13 TAK 23 TAK
14 TAK 24 TAK
15 TAK 25 TAK
16 TAK 26 TAK
17 TAK 27 TAK

41 Mesiolinguoversi 31 Mesiolinguoversi
42 Mesiolinguoversi 32 Mesiolinguoversi
43 Linguoversi 33 Distolinguoversi
44 TAK 34 Distolabioverso
45 TAK 35 TAK
46 TAK 36 TAK
47 TAK 37 TAK
Odontogram
 Study Model Examination

Molar Relationship: Class 1 Angle (Right and Left)

Canine Relationship: Class 1 Angle (Right and Left)
Overjet: 1 mm
Overbite: 5 mm
Crossbite: -
Diastema: 11-21 0,5 mm
Median Line: Lower shifting to the left 2mm
 Proffit-Ackerman
Problems
Aligment: Transverse
Facial Proportion &
Relationship:
Aesthetic:
Upper anterior
diastema and Lower Lower shifting to
Symmetry, Convex
anterior crowding the left, Deep bite

Sagital Relationship:
Vertical
Molar: Class 1 Angle Relationship:
type 1, Canine: Class 1
Normal
angle
Removable Orthodontic Appliance
Design

Mission
Progress of
Treatment 1st - 3st Control visit
Upper: Labial bow activation
Lower: Slicing on distal ar/
33&43, and z-spring activation
ar/ 33&43

4st - 5st control visit: 6st - 10st control visit:

Upper: Labial bow activation Upper: Labial bow activation
Lower: z-spring activation ar/ Lower: z-spring activation ar/
33-43 33-43
Typodont
 Typodont
At the 10th visit, there were no significant changes,
and continued with typodont simulation.
Typodont

Appliance Insertion Z-spring activation

Typodont

Final Result
Discussion
 Discussion
• Malocclusion is a medical term to describe an abnormal position or
arrangement of teeth and jaws that can interfere with appearance or
with daily activities, this condition can be treated by installing orthodontic
devices.

• Removable orthodontic appliances are used to treat malocclusion dental

problems. And it can be inserted and removed by the patient.
 Discussion
Indications of R.A. in general :
1. Limited (tipping) tooth movements.
2. It may be used for space maintenance or
habit breaking.
3. Correction of individual tooth malposition.
4. Arch expansion.
5. Retention (retainer) after comprehensive
orthodontic treatment "fixed appliance".
Contraindications of R.A in general:
1. If a noticeable skeletal discrepancy
exists
2. Presence of apical malpositions, severe
or multiple rotations.
3. Bodily movements are required.
4. Where severe crowding or spaces exist.
5. Bone is very dense and tooth
movement requires more time
 Based on this Case
• Patient diagnose with malocclussion angle class 1 type 1 treated by
removable orthodontic appliance.

• Maxillary: diastema corrected by activation of labial bow and deep

bite corrected by bite rim

• Mandibullary: crowding corrected by activation of z-spring with

slicing necessary
 Based on this Case
• At 1-3st control visit were focused to correct the crowding of
mandibullary ar/ 33&43 with slicing on distal to activated z-spring

• At 4-10st control visit, all of active components were activated to

correct dental problems.

• The total active treatment time was 4 months but there were no
significant changes.
 Conclussion
Successful management of orthodontic treatment depends upon the careful
assessment at each visit so that lack of progress of unwanted tooth movement can
be recognized early.
Patient satisfaction which is of prime importance for an orthodontist so in this
condition required for carrying out a successful orthodontic treatment involves
patient cooperation.
That’s all Thank You