Orthodontic and surgical management of a patient with severe skeletal Class II deformity and facial asymmetry: A case report with a 5-year follow-up

2017 ◽  
Vol 151 (4) ◽  
pp. 779-792 ◽  
Author(s):  
Xiang Gao ◽  
Tao Wang ◽  
Jinlin Song
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Facial Asymmetry ◽  
Class Ii ◽  
Skeletal Class ◽  
Skeletal Class Ii

scholarly journals Maxillomandibular Transverse Osteodistraction: A Multidisciplinary Case Report with 30-Month Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
G. Turatti ◽  
A. Bruni ◽  
M. Savoini ◽  
M. Giordano ◽  
G. Gerbino
Keyword(s):  
Case Report ◽  
Multidisciplinary Treatment ◽  
Class Ii ◽  
Anterior Crowding ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Smile Aesthetics ◽  
Dental Crowding ◽  
Jaw Surgery

Aim. To describe a multidisciplinary treatment to correct a severe II class malocclusion with reduced both maxillary and mandibular transverse dimensions and dental crowding. Case Report. A 17-year-old young woman presented with an increased overjet complaining chiefly of forwardly placed upper front teeth and unpleasant smile aesthetics. The patient facially exhibited a gently convex profile, severe mentalis strain on lip closure, and dark buccal corridors. The intraoral assessment indicates Class II molar relationship bilaterally, mandibular and maxillary anterior crowding, and narrow shape of upper and lower arches. The cephalometric evaluation of the lateral radiograph of the skull evidences a skeletal Class II with a reduction of lower face height. Based upon the diagnostic records and consultation with the patient, surgically assisted expansion of both arches using bone-borne distractors, comprehensive orthodontic treatment, and combined jaw surgery was planned. Results. This approach permitted achieving most of the desired objectives in approximately 30 months. The follow-up records 30 months after treatment conclusion showed a stable occlusion. No complications were clinically and radiographically noticeable during the follow-up.

scholarly journals Treatment of Class II Div 2 Malocclusion using PowerScope: A Case Report

2018 ◽  
Vol 8 (1) ◽  
pp. 63-67
Author(s):  
Luv Agarwal ◽  
Kamlesh Singh ◽  
Ragni Tandon
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Substantial Improvement ◽  
Adolescent Male ◽  
Forward Movement ◽  
Active Growth ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Aesthetic Appearance ◽  
Functional Appliances

Correction of skeletal Class II malocclusion has become a major challenge for orthodontists. Class II jaw discrepancies characterized by mandibular deficiency are treated with fixed functional appliances when there is no active growth present. This case report illustrates the application of PowerScope in 16 years young adolescent male having skeletal Class II Div 2 with mandibular deficiency who was reported with forwardly and irregularly placed upper front teeth with closed bite. The case was treated initially with MBT 0.022” prescription followed by PowerScope. Successful results were obtained with a substantial improvement in facial profile, skeletal jaw relationship and overall aesthetic appearance. PowerScope produced a significant forward movement of mandible which obliterated the need of extractions

First premolar extractions in an adolescent presenting a Class I biprotrusion malocclusion with skeletal Class II: A case report

2019 ◽  
Vol 17 (4) ◽  
pp. 817-825
Author(s):  
Frédéric Rafflenbeul ◽  
Hadrien Bonomi-Dunoyer ◽  
Thibaut Siebert ◽  
Yves Bolender
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Class I ◽  
Skeletal Class ◽  
Skeletal Class Ii

scholarly journals Fixed Lingual Mandibular Growth Modificator: a new appliance for Class II correction

2013 ◽  
Vol 18 (4) ◽  
pp. 70-81
Author(s):  
Osama Hasan Alali
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Deep Bite ◽  
Mandibular Growth ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

INTRODUCTION: This article demonstrates the description and use of a new appliance for Class II correction. MATERIAL AND METHODS: A case report of a 10-year 5 month-old girl who presented with a skeletally-based Class II division 1 malocclusion (ANB = 6.5º) on a slightly low-angle pattern, with ML-NSL angle of 30º and ML-NL angle of 22.5º. Overjet was increased (7 mm) and associated with a deep bite. RESULTS: Overjet and overbite reduction was undertaken with the new appliance, Fixed Lingual Mandibular Growth Modificator (FLMGM). CONCLUSION: FLMGM may be effective in stimulating the growth of the mandible and correcting skeletal Class II malocclusions. Clinicians can benefit from the unique clinical advantages that FLMGM provides, such as easy handling and full integration with bracketed appliance at any phase.

scholarly journals TADs assisted Camouflage Orthodontic Treatment of Class II Division 1 Malocclusion in a Non Growing Patient: A case report

2018 ◽  
Vol 8 (2) ◽  
pp. 55-59
Author(s):  
Ankita Gupta ◽  
Trilok Shrivastava
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Maxillary Incisor ◽  
Mandibular Incisor ◽  
Anterior Crowding ◽  
Skeletal Class ◽  
Curve Of Spee ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

Class II, Division I malocclusion has been described as the most frequent treatment problem in orthodontic practice. Aim & objectives of the present case report was to evaluate the management of skeletal Class II division 1 malocclusion in non growing patient with extraction of upper first premolars. Clinical and cephalometric evaluation revealed skeletal Class II with Angles Class II division 1 malocclusion with mild mandibular anterior crowding and increased overjet, severe maxillary incisor proclination, mild mandibular crowding, exaggerated curve of spee, convex profile, incompetent lips, increased overjet and overbite. Maxillary first premolars were extracted followed by en-masse retraction of anteriors with the help of temporary anchorage devices (TADs) to avoid anchorage loss. Mandibular incisor was extracted to correct curve of spee. Following treatment marked improvement in patient’s smile, facial profile and lip competence were achieved and there was a remarkable increase in the patient’s confidence and quality of life.

scholarly journals Orthodontic Camouflage Treatment of Class II Malocclusion in Non-growing Patient - A Case Report

2015 ◽  
Vol 5 (1) ◽  
pp. 46-49 ◽  
Author(s):  
Lubna Khan ◽  
Hemant Kumar Halwai ◽  
Rajiv Yadav ◽  
Ourvind Jeet Singh Birring
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Asian Population ◽  
Class Ii ◽  
Adult Patients ◽  
Treatment Modalities ◽  
Class Ii Malocclusion ◽  
Facial Profile ◽  
Skeletal Class ◽  
Skeletal Class Ii

The prevalence of skeletal Class II malocclusion is high amongst Asian population. Various treatment modalities have been presented for the treatment of Class II malocclusions in adult patients. We come across many adult patients who desire a costeffective and non-surgical correction and they accept dental camouflage as a treatment option to mask skeletal discrepancy. This case report presents a 26-year-old non-growing female who had a skeletal Class II malocclusion with prognathic maxilla and retrognathic mandible with an overjet of 7 mm, severe crowding, but did not want surgical treatment. We considered the camouflage treatment by extracting upper first premolars. Following the treatment, a satisfactory result was achieved with an acceptable static and functional occlusion, facial profile, smile and lip competence with patient satisfaction.

scholarly journals Gummy smile and facial profile correction using miniscrew anchorage

2011 ◽  
Vol 82 (1) ◽  
pp. 170-177 ◽  
Author(s):  
Masato Kaku ◽  
Shunichi Kojima ◽  
Hiromi Sumi ◽  
Hiroyuki Koseki ◽  
Sara Abedini ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Therapy ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Facial Profile ◽  
Retention Period ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Profile Correction ◽  
Gummy Smile

Abstract This case report describes the treatment of a case involving a skeletal Class II facial profile with a gummy smile. While treating a facial profile and a gummy smile, the outcome may not always be successful with orthodontic therapy alone. For this reason, surgical therapy is often chosen to gain an esthetic facial profile and a good smile. However, sometimes the patients reject surgical treatment and an alternative method must be considered. Skeletal anchorage systems such as miniscrews are now frequently used for correcting severe malocclusion that should be treated by surgical therapy. In this case report, we treated a skeletal Class II malocclusion with a convex profile and a gummy smile using miniscrews, which were placed in the upper posterior and anterior areas. The active treatment period was 3.5 years, and the patient's teeth continued to be stable after a retention period of 36 months.

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