Patient Details

Age : 34 years old

Gender : Female

Chief complain : Anterior openbite and severe mandibular joint clicking with pain

Diagnosis

Anterior openbite 3-4mm

Slight crowding in upper anteriors

Class I canine and molar relationship on Right side

Slight class II canine relation left side

Right condyle mild dislocation on mouth opening

CMD

Tongue thrust habit on swallowing.

Treatment planning

We will start with Aquasplint for 1.5 months to eliminate the mandibular jaw dysfunction symptoms. Bluegrass appliance will be used for 4-6 months to treat the tongue thrust habit.

Then Clear aligner treatment using K Clear from K Line Europe follows in sequence.

Number of aligners:

Upper: 14 upper and 14 lower aligners

Total 12 months treatment

Treatment objective

Align upper teeth

Treat the CMD

Treat the tongue thrust habit

Close the anterior openbite.

Results and conclusion posttreatment

Attachments were placed on the buccal teeth for intrusion. The intrusive effect of the posteriors relieved the TMJ and put condyle in a favorable position.

The intrusion of the posteriors helped as well in the anterior openbite closure in only 6 months after finishing the Bluegrass appliance treatment.

The Condyles position were significantly corrected and the patient doesn’t have pain nor TMJ clicking anymore on mouth opening.

Patient Photos