Absolute anchorage with universal T-loop mechanics for severe deepbite and maxillary anterior protrusion and its 10-year stability

Angle Orthod. 2010 Jul;80(4):583-94. doi: 10.2319/052809-304.1.

Abstract

An adult patient with severe maxillary protrusion and deepbite who was congenitally missing two mandibular incisors was treated successfully by maximum retraction of the maxillary anterior teeth after extraction of the maxillary first premolars using a moment differential between the anterior and posterior segments created by a universal T-loop. Anterior teeth were moved with controlled tipping, and little anchorage loss of the posterior segments was experienced using the universal T-loop spring. Reduction of overbite was performed by absolute intrusion of both maxillary and mandibular anterior teeth. With retraction of the maxillary anterior teeth and recontouring of the mandibular canines, proper overjet and overbite were achieved. This report shows the 10-year stability of the case treated with the universal T-loop for the first time.

Publication types

  • Case Reports

MeSH terms

  • Anodontia / complications
  • Cephalometry
  • Extraoral Traction Appliances
  • Female
  • Humans
  • Incisor / physiology*
  • Malocclusion / complications
  • Malocclusion / therapy*
  • Orthodontic Anchorage Procedures / instrumentation*
  • Orthodontic Space Closure*
  • Orthodontic Wires*
  • Secondary Prevention
  • Tooth Extraction
  • Young Adult