CENTRAL DIASTEMA CLOSURE WITH

CONTRACTION LOOPS IN BEGG TECHNIQUE

(Case Report)
Bayu Ananda*, Wayan Ardhana**, Christnawati**
*Orthodontic Resident, **Lecturer, Department of Orthodontics,
Faculty of Dentistry GadjahMada University
Rationale
Central diastema cause aesthetic problem in
some people. Correction of this malocclusion
may increase self confidence. Central distema
is a space between incisuvus centralis, space
formed by more than 0,5 mm. Orthodontist
will be challenged to correct this
malocclusion. Central distema can be
corrected with removable appliance or fixed
appliance, include Begg technique.
Patient, 26 years old.
Class II div 1 Angle malocclusion.
Abnormal attachement frenulum labialis anterior.
Bad habit: lower lip sucking, opening mouth when
sleeping.
Want to close central diastema.
Want to correct malocclusion and malposition.
- Class II molar and caninus relation in the right region.
- Class I molar and caninus relation in the left region.
- Interincisivus shifting to the right.
- Third molar impaction had been extracted.
- SNA: 83,5
0
- SNB: 76
0
- ANB: 7,5
0
Treatment planing
Motivate to eliminate bad habit.
Frenectomy.
Extracting tooth 14 and 24.
Begg technique treatment:
- central diastema closure.
- overjet and overbite correction.
- molar relation correction.
Stage of Begg Technique
First stage : - central diastema closure
- retracting anterior tooth.
- deepbite correction.
- molar relationship correction.
Second stage : space closing.
Third stage : root paralelling.
After one year of treatment:
Central distema has been corrected.
Overjet has been reduced, 10,5 mm to 5,5
mm.
before treatment in the middle of treatment after one year of treatment
before treament in the middle of treatment after one year of treatment
before treatment OPG after one year of treatment OPG
before treatment sefalometri after one year of treatment sefalometri
RADIOGRAPHIC BEFORE AND AFTER ONE YEAR OF TREATMENT
TABLE BEFORE AND AFTER ONE YEAR OF TREATMENT
Metode Sebelum Perawatan Dalam Progres Perawatan
Steiner SNA 83,5 83,5
0
SNB 76 76
0
ANB 7,5 7,5
0
I ke NA 10.5 mm 5,5 mm
I ke NA 35 25
0
I ke NB 7 mm 3 mm
I ke NB 27 21
0
Pg ke NB 1,5 mm 1,5 mm
I ke I 107,5 124
0
Downs Facial 84.5 84,5
0
Conv 12,5 12,5
0
Bidang A-B -11 -5
0
FMPA 33 21
0
Y axis 67 60
0
Inklinasi Bidang Oklusal 10 9
0
I ke I 107,5
0
124
0
I ke bidang Oklusal 27 16
0
IMPA 99 91
0
Derajat protrusi 10.5 mm 5 mm
Wits AO BO 10 mm 5 mm
CONCLUSION
This pastient was treated with fixed orthodontic
appliance Begg technique. extraction teeth 14 and 24
decided because of the retrusion of mandible.
Differential force caused by Beeg technique may
correct the central diastema, overjet, overbite, molar
relationship.
Begg technique consists of three stages:
First stage : levelling , unravelling, overjet, overbite,
molar relationship correction.
Second stage : space closing.
Third stage : root paralelling.
This patient still in the first stage of the treatment.