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 Class II correction by maxillary molar distalization with pendulum appliance - A case report

2021 ◽  
Vol 9 (1) ◽  
pp. 26-28
Author(s):  
Nivedita Nandeshwar ◽  
Sujoy Banerjee ◽  
Rashmi Jawalekar ◽  
Usha Shenoy
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Class I ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Maxillary Molar ◽  
Total Treatment ◽  
Pendulum Appliance ◽  
Maxillary Arch

24 year male patient presented with skeletal class II base with prognathic maxilla and orthognathic mandible. Angles class II division 1 subdivision malocclusion with proclined upper and lower anteriors, increase overjet, increased overbite, spacing with upper and lower anteriors, scissor bite with 35, class I molar and canine relation on right side, end on molar and canine relation on left side. Distalization was planned in maxillary arch to correct end on molar relation on left side and upper incisor proclination. Unilateral Pendulum appliance was used to distalize upper left molar. Post treatment Class I molar relationship was achieved bilaterally within 2-4 months with incisor proclination reduced. The total treatment ended in 18 months.

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

scholarly journals Anatomical characteristics of mandibular bone in skeletal Class I, II and III patients by using cone beam computed tomography images in an iranian population

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Mohammad Zandi ◽  
Abbas Shokri ◽  
Vahid Mollabashi ◽  
Zahed Eghdami ◽  
Payam Amini
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Class Ii ◽  
Class I ◽  
Cone Beam ◽  
Class Iii ◽  
Anatomical Characteristics ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Ramus Height

Objetive: This study aimed to compare the anatomical characteristics of the mandible in patients with skeletal class I, II and class III disorders using cone beam computed tomography (CBCT). Material and Methods: CBCT scans of patients between 17 to 40 years taken with NewTom 3G CBCT system with 12-inch field of view (FOV) were selected from the archive. Lateral cephalograms were obtained from CBCT scans of patients, and type of skeletal malocclusion was determined (Class I, II or III). All CBCT scans were evaluated in the sagittal, coronal and axial planes using the N.N.T viewer software. Results: The ramus height and distance from the mandibular foramen to the sigmoid notch in class II patients were significantly different from those in skeletal class I (P < 0.005). Distance from the mandibular canal to the anterior border of ramus in class III individuals was significantly different from that in skeletal class I individuals (P < .005). Conclusion: Length of the body of mandible in skeletal class I was significantly different from that in skeletal class II and III patients. Also, ramus height in skeletal class I was significantly different from that in skeletal class II patients. CBCT had high efficacy for accurate identification of anatomical landmarks.   Keywords Prognathism; Retrognathism; Mandible; Anatomy; Cone beam computed tomography.

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.

scholarly journals Successful orthodontic treatment of Class II division 1 malocclusion in a non growing patient : A case report

2013 ◽  
Vol 2 (2) ◽  
pp. 41-45
Author(s):  
MW Ali ◽  
MZ Hossain
Keyword(s):  
Stainless Steel ◽  
Case Report ◽  
Class Ii ◽  
Maxillary Incisor ◽  
Skeletal Class ◽  
Canine Retraction ◽  
Anterior Teeth ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

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 division 1 malocclusion with severe maxillary incisor proclination, convex profile, average mandibular plane angle, incompetent lips, increased overjet and overbite. After extraction of upper 1st premolars, canine retraction was done which was followed by retraction of severely proclined upper anterior teeth by judicious control of third order bend in rectangular stainless steel arch wire with “V” loop . For anchorage management, intra oral anchorage with tip back & toe in bends in stainless steel arch wire was satisfactory. 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. DOI: http://dx.doi.org/10.3329/bjodfo.v2i2.16165 Ban J Orthod & Dentofac Orthop, April 2012; Vol-2, No.2, 41-45

scholarly journals Evaluation of the position and morphology of tongue and hyoid bone in skeletal Class II malocclusion based on cone beam computed tomography

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wener Chen ◽  
HungEn Mou ◽  
Yufen Qian ◽  
Liwen Qian
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Hyoid Bone ◽  
Class Ii ◽  
Growth Patterns ◽  
Class I ◽  
Cone Beam ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Average Angle

Abstract Background The aim of the study was to analyze the morphology and position of the tongue and hyoid bone in skeletal Class II patients with different vertical growth patterns by cone beam computed tomography in comparison to skeletal Class I patients. Methods Ninety subjects with malocclusion were divided into skeletal Class II and Class I groups by ANB angles. Based on different vertical growth patterns, subjects in each group were divided into 3 subgroups: high-angle group (MP-FH ≥ 32.0°), average-angle group (22.0° ≤ MP-FH < 32°) and low-angle group (MP-FH < 22°). The position and morphology of the tongue and hyoid bone were evaluated in the cone beam computed tomography images. The independent Student’s t‐test was used to compare the position and morphology of the tongue and hyoid bone between skeletal Class I and Class II groups. One-way analysis of variance (ANOVA) was used to compare the measurement indexes of different vertical facial patterns in each group. Results Patients in skeletal Class II group had lower tongue posture, and the tongue body was smaller than that of those in the Class I group (P < 0.05). The position of the hyoid bone was lower in the skeletal Class II group than in Class I group (P < 0.05). The tongue length and H-Me in the skeletal Class I group with a low angle were significantly larger than those with an average angle and high angle (P < 0.05). There was no significant difference in the position or morphology of the tongue and hyoid bone in the skeletal Class II group with different vertical facial patterns (P > 0.05). Conclusion Patients with skeletal Class II malocclusion have lower tongue posture, a smaller tongue body, and greater occurrence of posterior inferior hyoid bone position than skeletal Class I patients. The length of the mandibular body in skeletal Class I patients with a horizontal growth type is longer. The position and morphology of the tongue and hyoid bone were not greatly affected by vertical facial development in skeletal Class II patients.

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