Abordagem multidisciplinar no tratamento com alinhadores em paciente com discrepância entre MIH E ROC – relato de caso

Abstract

The centric relationship is the most stable, reproducible, and comfortable that the mandible can assume and should be the reference point when dealing with occlusion. The objective of this case report was to describe a treatment using aligners for the correction of class two occlusal alterations in a patient with discrepancy between the centric and habitual occlusal disorders and to describe the importance of the diagnosis in a centric relationship, since the patient was referred by the prosthetist because he had signs of occlusal instability, such as receding gums. The clinical examination showed a class I molar and canine relationship in MHI and, evaluating the occlusion in CR, showed a class II molar relationship with a 5 mm overjet and an anterior open bite. The virtual planning of the patient was performed in Centric Occlusion and included 60 upper and lower aligners and the mechanical one included Power Arm associated with mini-implants and class two elastic bands. At the end of the treatment, class 2 was corrected.