COMPARATIVE ANALYSIS OF SOFT TISSUES FACIAL PROFILE CHANGES DURING ORTHODONTIC TREATMENT OF VESTIBULAR POSITIONED MAXILLARY PERMANENT CANINES WITH OR WITHOUT EXTRACTION

Abstract

The aim: To improve the effectiveness of diagnosing and developing treatment strategies for patients with the vestibular position of permanent canines Material and Methods: Material for the conducted research were the database obtained during clinical examination of 7172 patients that have been referring to our clinic for the orthodontic treatment. Of these, 2,669 were male (37.21%) and 4,503 were female (62.79%). Among the total number of examined patients, 461 were found to have a vestibular position of tooth 13 (6.43±0.29%), and 357 patients had a vestibular position of tooth 23 (4.98±0.26%). A combination of vestibular positions of teeth 12 and 13 was found in 553 patients (7.71±0.31%). Simulation of various orthodontic treatment options to achieve the optimal aesthetic result using the "Dolphin Imaging 11.9" program was conducted in two scenarios: one with the removal of the first permanent premolars and the other without tooth extractions, using maxillary expansion and distalization of the posterior teeth. Two clinical cases are illustrated to demonstrate the stages of treatment in patients with vestibular positioning of maxillary canines, both with and without tooth extraction. Results: The author concludes that the use of the "Dolphin Imaging 11.9" program significantly enhances the effectiveness of diagnosing and orthodontically treating patients with vestibular positioning of permanent maxillary canines, helping to achieve harmony between skeletal and soft tissue facial relationships.