Treatment of a Class II, Division 1 vertical growth pattern with severe anterior crowding

1997 ◽  
Vol 112 (3) ◽  
pp. 300-308 ◽  
Author(s):  
Ernest A. Maggioncalda
2018 ◽  
Vol 8 (2) ◽  
pp. 55-59
Author(s):  
Ankita Gupta ◽  
Trilok Shrivastava

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.


2007 ◽  
Vol 77 (1) ◽  
pp. 155-166 ◽  
Author(s):  
Kyu-Rhim Chung ◽  
Jae-Hee Cho ◽  
Seong-Hun Kim ◽  
Yoon-Ah Kook ◽  
Mauro Cozzani

Abstract This paper describes the treatment of a female patient, aged 23 years and 5 months, with a Class II division 1 malocclusion, who showed severe anterior protrusion and lower anterior crowding. Specially-designed orthodontic mini-implants were placed bilaterally in the interdental space between both the upper and the lower posterior teeth. Both lower first molars showed severe apical lesions. Therefore, the treatment plan consisted of extraction of both upper first premolars and lower first molars, en masse retraction of the upper six anterior teeth, lower anterior alignment, and protraction of all the lower molars. C-implants® were used as substitutes for maxillary posterior anchorage teeth during anterior retraction and as hooks for mandibular molar protraction. The correct overbite and overjet were obtained by intruding and retracting the upper six anterior teeth into their proper positions. The dentition was detailed using conventional orthodontic appliances. The upper C-implants contributed to an improvement in facial balance, and the lower C-implants made it possible to protract the lower second and third molars with less effect on the axis of the lower anterior teeth. The active treatment period was 29 months and the patient's teeth continued to be stable 11 months after debonding.


1995 ◽  
Vol 22 (2) ◽  
pp. 171-178 ◽  
Author(s):  
O. D. Otuyemi ◽  
S. P. Jones

The PAR Index was used to evaluate treatment and long-term post-retention results obtained from 50 Class II division 1 malocclusions. Dental casts were used to record the occlusions pre- and post-treatment as well as 1 and 10 years post-retention. The results suggested a high treatment standard, as indicated by mean percentage PAR score reduction. However, maintenance of post-treatment results 1 and 10 years post-retention was only achieved in 60 and 38 per cent of cases, respectively. The major factor involved in this deterioration appeared to be late lower anterior crowding.


2019 ◽  
Vol 6 (1) ◽  
pp. 12
Author(s):  
Sari Kurniawati ◽  
Angela Putri Bunga Senanda

Background: Class II division 1 malocclusion characterized by mandibularretrognation, deep bite and increasement of overjet. Myofunctional appliance could modify the growth and developmental of mandibular at appropriate phase. The purpose of this case report was to present successful management of Class II division 1 by using bionator and removable appliance.Case Management: A 9 years old girl with upper teeth protrusion, crowding and affected the esthetical perception. The diagnosis was Class II division 1 with mandibular retrognation and upper incisor protrusion, upper and lower anterior crowding and palatal bite. Patient also had lip biting and thumb sucking habit. Bionator leads the mandibular moved forward and arch widening. Treatment planning were to reduce overjet by prognating mandibular and bad habit elimination. Followed by retracting the upper teeth and deep bite correction by using removable appliance.Conclusion: Patient profile became corrected in 10 weeks. Overjet reduced in by prognating the mandible, decreasing of palatal bite, molar relation become Class I and bad habit elimination. In 10 months, overjet and overbite were corrected.


2021 ◽  
Vol 7 (3) ◽  
pp. 245-250
Author(s):  
Ashish Kamboj ◽  
S S Chopra ◽  
Tushar Deshmukh ◽  
Gagandeep Kochar ◽  
Deepak Chauhan ◽  
...  

Edward H Angle first gave the classification for malocclusions into Classes I, II and III. Amongst these, Class II is the most prevalent and commonly treated at orthodontic clinics. Treatment of Class II malocclusion with mandibular deficiency in adult patients is usually managed with ortho-surgical treatment modality. In this article a case of Skeletal Class II malocclusion with vertical growth pattern is represented which was treated with BSSRO and mandibular advancement was carried out.


2011 ◽  
Vol 139 (6) ◽  
pp. 768-774 ◽  
Author(s):  
Camila Leite Quaglio ◽  
Karina Maria Salvatore de Freitas ◽  
Marcos Roberto de Freitas ◽  
Guilherme Janson ◽  
José Fernando Castanha Henriques

2007 ◽  
Vol 01 (03) ◽  
pp. 125-131 ◽  
Author(s):  
İbrahim Erhan Gelgör ◽  
İhya Ali Karaman ◽  
Ertuğrul Ercan

ABSTRACTObjectives: The objective of this study was to describe the prevalence of malocclusion in a population of Central Anatolian adolescents in relation to gender.Methods: The sample comprised 2329 teenagers (1125 boys and 1204 girls), aged between 12 and 17 years (mean age: 14.6 yrs). Occlusal anteroposterior relationships were assessed using the Angle classification. Other variables examined were overjet, overbite, crowding, midline diastema, posterior crossbite, and scissors bite.Results:The results showed that about 10.1% of the subjects had normal occlusions, 34.9% of the subjects had Class I malocclusions, 40.0% had Class II Division 1 malocclusions, 4.7% had Class II Division 2 malocclusions and 10.3% had Class III malocclusions. Over 53.5% had normal overbites, and 18.3%, 14.4%, 5.6%, and 8.2% had increased, reduced, edge-to-edge or anterior open bite values, respectively. Overjet relationship was normal in 58.9%, increased in 25.1%, reversed in 10.4%, and edge-to-edge in 5.6%. A posterior crossbite registered in 9.5% and scissors bite in 0.3%. Anterior crowding was present in 65.2% of the sample and midline diastema in 7.0%. No clear gender differences were noted, except for normal overbite (most frequent in girls, P>.001) and increased overbite (most frequent in boys, P>.05)Conclusions: Class II Division 1 malocclusion is the most prevalent occlusal pattern among the Central Anatolian adolescents and the high values (25.1% and 18.3%) of increased overjet and overbite were a reflection of the high prevalence of Class II malocclusion. (Eur J Dent 2007;1:125-131)


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