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Friedreich's ataxia is an inherited disease affecting the nervous system and presents huge orthodontic challenges affecting the patient's coordination and muscular function. Based on the rarity of this condition, the aim of this case report is to describe an unusual orthodontic treatment employed to manage a severe open bite in a 14-year-old male patient suffering from Friedreich's ataxia, by highlighting the clinical decisions and treatment outcomes. Managing a severe anterior open bite in patients suffering from Friedreich's ataxia by skeletal anchorage mechanics for posterior teeth intrusion is advantageous considering their health condition.

Introduction: One of the main goals of orthodontic management is to achieve a beautiful smile. However, beauty has both objective and subjective dimensions. This study aims to evaluate the factors that affect the perception of the smile in patients consulting for orthodontic treatment about the vision of their practitioners. Materials and Methods: Fifty orthodontic patients and 30 orthodontists evaluated the degree of attractiveness of 16 photographs of the smile. Dental, gingival and labial parameters were used. Statistical analyses of the level of perception of each group were performed. The Student t-test and the Chi-square test were used to compare the attractive and unattractive smile parameters. Results and Discussion: The perception of smile aesthetics between orthodontists and orthodontic patients has shown a significant difference (P < 0.05). Orthodontists were more analytical in judging variables like smile arc, alterations of the gingival display and the palatal inclination of the maxillary incisors.

Adult orthodontics aims to achieve optimal functional and aesthetic corrections. However, for several reasons, some patients will wish to benefit from a limited treatment where only certain aspects of a malocclusion will be corrected. In these clinical situations, the therapeutic objectives must be adjusted to the individual needs of the patient insofar as they can bring them real benefits. The use of digital technology makes it possible to study the therapeutic possibilities better and visualize the occlusal results before choosing the best therapeutic approach, especially in cases requiring customization. The aim of this clinical case report is to illustrate the orthodontic compromise made after the analysis of the digital setup in an adult patient who presented with a class III malocclusion but refused orthodontic-surgical therapy and requested an alternative treatment.

Introduction Friedreich′s ataxia is an inherited disease affecting the nervous system and presents huge orthodontic challenges affecting the patient′s coordination and muscular function. Observation Based on the rarity of this condition, the aim of this case report is to describe an unusual orthodontic treatment employed to manage a severe open bite in a 14‐year‐old male patient suffering from Friedreich′s ataxia, by highlighting the clinical decisions and treatment outcomes. Conclusion Managing a severe anterior open bite in patients suffering from Friedreich′s ataxia by skeletal anchorage mechanics for posterior teeth intrusion is advantageous considering their health condition.

One of the main goals of orthodontic management is to achieve a beautiful smile. However, beauty has both objective and subjective dimensions. This study aims to evaluate the factors that affect the perception of the smile in patients consulting for orthodontic treatment about the vision of their practitioners. Fifty orthodontic patients and 30 orthodontists evaluated the degree of attractiveness of 16 photographs of the smile. Dental, gingival and labial parameters were used. Statistical analyses of the level of perception of each group were performed. The Student t-test and the Chi-square test were used to compare the attractive and unattractive smile parameters. The perception of smile aesthetics between orthodontists and orthodontic patients has shown a significant difference (P < 0.05). Orthodontists were more analytical in judging variables like smile arc, alterations of the gingival display and the palatal inclination of the maxillary incisors.