scholarly journals Effective and Efficient Correction of Severe Skeletal Class II Division 1 Malocclusion with Intermaxillary Elastics

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Mohammed K. Badri
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
The Status ◽  
Patient Cooperation ◽  
Growth Modification ◽  
Class Ii Elastics ◽  
Class Ii Division 1

Treatment of Class II malocclusion accompanied with a skeletal discrepancy is challenging. The approach of correction depends on several factors such as the status and pattern of growth, severity of the malocclusion, and patient cooperation. This case report describes a successful management of a 12-year-old young adolescent boy that was presented with a Class II division 1 malocclusion with an underlying skeletal discrepancy in horizontal and vertical dimensions. Growth modification was achieved by means of bite opening and unlocking the mandible together with Class II elastics and mechanics. Treatment was highly effective and efficient by achieving all treatment goals within a period of 18 months.

scholarly journals Comparative Study on the Efficiency of Intermaxillary Elastic Polymers used in the Treatment of Skeletal Class II Malocclusions in Growing Patients

2019 ◽  
Vol 56 (2) ◽  
pp. 341-345 ◽  
Author(s):  
Luminita Ligia Vaida ◽  
Raluca Dima ◽  
Emilia Albinita Cuc ◽  
Bianca Maria Negrutiu ◽  
Abel Emanuel Moca ◽  
...  
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Therapeutic Approaches ◽  
Mandibular Growth ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Orthodontic Patients ◽  
Group 2 ◽  
Class Ii Elastics ◽  
Group 1

The aim of this study was to evaluate the efficiency in using intermaxillary elastics to stimulate mandibular growth and advancement in orthodontic patients diagnosed with skeletal Class II malocclusion as well as to compare the use of these Class II elastics in two different therapeutic approaches. The sample consisted of 60 orthodontic patients aged 10-15 years, 34 girls and 26 boys. The sample was divided into two equal groups (each consisting of 30 patients). Patients belonging to the first group (Group 1) were subjected to 1/4�� - 6.0 oz elastics and were advised to change the elastic every 24 hours. Patients belonging to the second group (Group 2) were subjected to 1/4�- 4.5 oz elastics but with a recommendation to change the elastics every 12 hours. In order to evaluate the effectiveness of these two types of Class II elastics on mandibular growth and advancement, the value of the SNB angle at the beginning of the treatment (T1) was compared with the value of the SNB angle after 5 months of wearing intermaxillary elastics (T2). All patients showed statistically significant increased values of the SNB angle during the orthodontic treatment (p[0.001). Patients in Group 2 showed a significantly higher statistical increase (p[0.05) than patients in Group 1.

scholarly journals Alveolar and symphysis regions of patients with skeletal class II division 1 anomalies with different vertical growth patterns

2012 ◽  
Vol 06 (02) ◽  
pp. 123-132 ◽  
Author(s):  
Elcin Esenlik ◽  
Fidan Alakus Sabuncuoglu
Keyword(s):  
Normal Subjects ◽  
Class Ii ◽  
Growth Patterns ◽  
Control Group ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Main Factor ◽  
Class Ii Division 1

ABSTRACTObjectives: The aim of this study was to investigate the alveolar and symphysis region properties in hyper-, hypo-, and normodivergent Class II division 1 anomaliesMethods: Pretreatment lateral cephalograms of 111 young adult female patients with skeletal Class II division 1 anomalies were compared to those of 54 Class I normal subjects (control group). Class II cases were divided into hyperdivergent (n = 58), hypodivergent (n = 19), and normodivergent groups (n = 34). The heights and widths of the symphysis and alveolus and the depth of maxillary palate were measured on the lateral cephalogramsResults: Mean symphysis width was wider in the hypodivergent Class II group than in the other groups, while mean symphysis height was similar among all groups. Maxillary palatal depth, upper incisor angle, upper and lower molar alveolar heights, and Id–Id′ width were also similar among groupsConclusion: Symphysis width is the main factor in the differential diagnosis of Class II division 1 anomaly rather than symphysis height and hypodivergent Class II Division 1 anomaly is more suitable for mandibular incisors movements. (Eur J Dent 2012;6:123-132)

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 Full Mouth Reconstruction of a Skeletal Class II Division 1 Patient with Adenoid Cystic Carcinoma Using an Interim Immediate Obturator and a Definitive Obturator

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Mehran Bahrami ◽  
Seyed Mehran Falahchai
Keyword(s):  
Adenoid Cystic Carcinoma ◽  
Anterior Segment ◽  
Class Ii ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Adenoid Cystic ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
The Right ◽  
Class Ii Division 1

A 61-year-old female patient with adenoid cystic carcinoma (ACC) of the right maxilla and Angle class II division 1 malocclusion had received a subtotal maxillectomy in right side and used a conventional clasp-retained obturator. After implants placement, a maxillary interim immediate obturator (IIO) and then a definitive obturator using six endosseous implants were fabricated. During one-year follow-up, the patient was completely satisfied. Ideally, after implants placement in edentulous patients suffering from hemimaxillectomy, an implant-supported obturator (ISO) is designed in order to prevent nasal reflux and to improve speech and swallowing. However, in the following case, because of skeletal class II division 1 malocclusion and implants insertion in the premaxilla, using an ISO was impossible because it would cause excessive upper lip protrusion and lack of anterior teeth contact. Therefore, a five-unit implant-supported fixed partial denture (FPD) was fabricated in the maxillary anterior segment so that anterior teeth contacts were possible and the patient’s normal lip support was achieved. A bar and three ball attachments were used in the maxillary posterior segment. A closed-hollow-bulb ISO was preferred. Conventional ISO in these patients results in several problems. Using a maxillary anterior FPD along with ISO caused satisfactory results in the current patient.

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 Growth Modification in Class II Malocclusion: A Review

2015 ◽  
Vol 4 (2) ◽  
pp. 23-26
Author(s):  
Sufia Nasrin Rita ◽  
SM Anwar Sadat
Keyword(s):  
Soft Tissues ◽  
Cervical Vertebrae ◽  
Class Ii ◽  
Treatment Modalities ◽  
Optimal Time ◽  
Maturation Stage ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Growth Modification

Class II malocclusion is the condition in which the mandibular first molars occlude distal to the normal relationship with the maxillary first molar. The etiology of class II malocclusion varied between skeletal, soft tissues, dental factors and habits. Skeletal class II could be because of protrusion of maxilla, retrusion of mandible and combination of both. The treatment modalities of any skeletal problem include Growth modification, Dental camouflage and Orthognathic surgery. The optimal time for treatment of patients with Class II malocclusions therapy should be initiated at the beginning of cervical vertebrae maturation stage CS3 to maximize the treatment effects. Age of treatment is approximately 8-14 years. The growth modification of moderate to severe skeletal class II malocclusion can be done by head gear, bionator, activator, twin block, herbest appliance, Frankel II regulator. The ultimate goal of growth modification depends on treatment timing, length of treatment, working mechanism of appliance, patient’s skeletal and dental condition we want to treat and the compliance of the patient.Update Dent. Coll. j: 2014; 4 (2): 23-26

scholarly journals Effects of skeletally anchored Class II elastics: A pilot study and new approach for treating Class II malocclusion

2017 ◽  
Vol 87 (4) ◽  
pp. 505-512 ◽  
Author(s):  
Selin Ozbilek ◽  
Ahmet Yalcin Gungor ◽  
Salih Celik
Keyword(s):  
Class Ii ◽  
Matched Pair ◽  
Sign Test ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Significant Group ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Two Miniplates ◽  
Class Ii Elastics

ABSTRACT Objective: To evaluate the skeletal, dentoalveolar, and soft tissue effects of skeletally anchored Class II elastics and compare them with a matched control group treated by a monobloc appliance for the correction of skeletal Class II malocclusion due to mandibular retrusion. Materials and Methods: Twelve patients (6 girls, 6 boys) were randomly divided into two groups. In the elastics group, six patients (12.9 ± 1.5 years of age; 3 boys, 3 girls) were treated with skeletally anchored Class II elastics. Two miniplates were placed bilaterally at the ramus of the mandible and the other two miniplates were placed at the aperture piriformis area of the maxilla. In the monobloc group (3 boys and 3 girls; mean age, 12.3 ± 1.6 years), patients used the monobloc appliance. The changes observed in each phase of treatment were evaluated using the Wilcoxon matched-pair sign test. Intergroup comparisons at the initial phase of treatment were analyzed by the Mann-Whitney U test. Results: There were statistically significant group differences in Co-Gn, B-VRL, U1-PP, U1-VRL, Ls-VRL, with significant increases in these parameters in the elastics group (P < .05). The mandibular incisors were protruded in the monobloc group (5.45 ± 1.23°), whereas they were retruded in the elastics group (−3.01 ± 1.66°; P < .01). Conclusions: The undesirable dentoalveolar effects of the monobloc appliance were eliminated by using miniplate anchorage. Favorable skeletal outcomes can be achieved by skeletal anchorage therapies which could be an alternative to treat skeletal Class II patients with mandibular deficiency.

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