Skip to main content
Figure 14 | Head & Face Medicine

Figure 14

From: The spectrum of Apert syndrome: phenotype, particularities in orthodontic treatment, and characteristics of orthognathic surgery

Figure 14

Age 16.1. End of treatment after 29 months. Tooth positions in both jaws are coordinated so that later surgical positioning into an acceptable occlusion will be possible. Teeth 27, 37, and 47 will be without antagonistic contact after orthognathic surgery and will be extracted at least 6 months before operation. Because of further growth and the requisite decompensation for orthognathic surgery, the initial Class III worsened. Complications during orthodontic treatment were a generally decelerated tooth movement, the impossibilty to establish torque in teeth 21, 22, and 24, and the impossibilty to rotate tooth 41 despite supracrestal fibrotomy, application of rotational pads, first order bands, power chains with lasso technique, and superelastic wires. Further problems during orthodontic treatment: Maintaining oral hygiene; loss of 1 bracket and loosening of 1 band; patient did not wear his retainers properly, resulting in the need for tooth grinding before surgery to enable correct positioning after elongation of some teeth.

Back to article page
\