Combining different treatment philosophies and techniques to reach the desired treatment goal using butterfly system-customizing orthodontic treatment

  • Authors

    • Dhaval Lekhadia Rajiv Gandhi University of Health sciences
  • Sectional Mechanics, Butterfly system, Micro-implant, Tongue crib, vertical slots
  • This case report describes the orthodontic treatment of an 18-year-old male patient who presented with Straight profile; tongue thrust habit, proclined upper incisors, generalised spacing in upper and lower arches, Katz's class II premolar relation unilaterally, class II canine relation unilaterally with increased overjet and overbite. A butterfly system was used in the treatment combined with frictionless biomechanics in the initial stage of treatment followed by continuous arch mechanics in the later part of treatment. A tongued crib was used to stop the tongue thrust habit along with one elastic swallow exercise. Micro-implant anchorage was used unilaterally in the upper arch for retraction of the entire segment and correction of the unilateral class II canine and premolar relationship. To avoid a dished in profile, a non-extraction treatment was executed. Final corrections of distally tipped canines were achieved using conventional Begg’s  uprighting auxiliaries in the vertical slots of butterfly system in the finishing stage. The case was finished using bite settling elastics. Total treatment time was 1 year 2 months. Aesthetic and functional goals were achieved satisfactorily with proper selection of biomechanics.

  • References

    1. [1] Godeiro CS, Rabelo F, Antonio RA, Hallissa S, Wilson MA. Segmented arch or continuous arch technique? A rational approach. Dental Press J. Orthod. 2014 Apr; 19 (2): 126-141.

      [2] Thickett E, Taylor NG, Hodge T. Choosing a pre-adjusted orthodontic appliance prescription for anterior teeth. J Orthod 2007; 34:95-100.

      [3] Andrews LF. Straight Wire, the Concept and Appliance. San Diego: L. A. Wells; 1989.

      [4] McLaughlin RP, Bennet JC, Trevisi HJ. Systemized Orthodontic Treatment Mechanics. Wolfe, London, Mosby; 2001.

      [5] Rajesh M, Kishore M, Shetty KS. Comparison of anchorage loss following initial leveling and aligning using Roth and MBT prescription—A clinical prospective study. J. Int. Oral Health 2014; 6:16-21.

      [6] Su H., Han B, Li S, Na B, Ma W, and Xu, T. Factors predisposing to maxillary anchorage loss: A retrospective study of 1403 cases. PLoS One 9:e10956, 2014.

      [7] Chen S, Chen G, Xu T. Clinical Application of the Pass Technique. JCO 2015; 43(8):508-515.

      [8] Orton HS, McDonald F. A simple sectional canine retraction technique using the properties of nickel titanium rectangular wire. Eur J Orthod 1985;7(2):120-126

      [9] Marassi C, Marassi: Mini- implant assisted anterior retraction. Dental Press J. Orthod.2008; 13 (5): 57-74.

      [10] Bowman SJ, Carano A: The Butterfly System. JCO; 38 (5): 274-284.

      [11] Speidel TM, Isaacson RJ, Worms FW. Tongue-thrust therapy and anterior dental open-bite. A review of new facial growth data. Am J Orthod 1972; 62:287-95.

      [12] H. S. Park, S. M. Bae, H. M. Kyung, and J. H. Sung, “Micro-implant anchorage for treatment of skeletal Class I bialveolar protrusion,†Journal of Clinical Orthodontics 2001; 35 (7): 417–422.

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  • How to Cite

    Lekhadia, D. (2017). Combining different treatment philosophies and techniques to reach the desired treatment goal using butterfly system-customizing orthodontic treatment. International Journal of Dental Research, 5(1), 68-74.