scholarly journals Indian Board of Orthodontics Case Report: Management of Skeletal Class II Division 1 Malocclusion With Single-Phase Fixed Orthodontic Treatment Along With Forsus FRD Fixed Functional Appliance

2021 ◽  
Vol 55 (2) ◽  
pp. 202-208
Author(s):  
Ashish Garg
Keyword(s):  
Case Report ◽  
Single Phase ◽  
Critical Appraisal ◽  
Class Ii ◽  
Functional Appliance ◽  
Skeletal Class ◽  
Fixed Functional Appliance ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

This case report was submitted to the board under category II for the Indian Board of Orthodontics examination in November 2017. This case report illustrated the treatment of class II division 1 malocclusion by pre-adjusted appliance along with Forsus Fatigue Resistance Device (FRD) fixed functional appliance (single-phase treatment) in a 13.6 year-old female patient whose growth was about to cease. The summary of the treatment, various records, treatment progress, and critical appraisal are reprinted here with minimal editing and reformatting, and hence, the presentation resembles the actual documents submitted to the board.

scholarly journals Management of Class II Division 1 Subdivision malocclusion using unilateral bicuspid extractions and fixed functional appliance: A Two Year Follow-Up

2021 ◽  
Vol 8 (1) ◽  
pp. 12-19
Author(s):  
Sarvraj Kohli ◽  
Virinder Kohli ◽  
Gagan Deep Kochhar
Keyword(s):  
Class Ii ◽  
Mandibular Advancement ◽  
Treatment Modalities ◽  
Functional Appliance ◽  
Skeletal Class ◽  
Fixed Functional Appliance ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Unique Approach ◽  
Class Ii Division 1

Introduction:  Management of Class II Subdivision cases pose a clinical dilemma and require a careful diagnosis to ascertain the source of asymmetry. Various treatment modalities involving: different protocols of tooth extractions; molar distalization; fixed functional appliances or orthognathic surgery have been proposed for the same. Objective:       This article reports a unique approach for management of a severe skeletal Class II with Angle’s Class II Division 1 subdivision malocclusion using unilateral bicuspid extractions in mandibular and maxillary arches  and a fixed functional appliance. Results:         A 13 year 1 month old male in CVMI transition stage was successfully treated. Extraction of #44 was done to alleviate crowding in the mandibular anterior region and #15 was extracted to protract #16 to achieve a Class II molar relationship. A pre-functional Class II molar and canine relationship with co-incident midlines was achieved. The functional phase consisted of a fixed functional appliance (Forsus FRD) for mandibular advancement to correct the severe skeletal Class II. Class I molar and canine relationships were achieved with reduction of facial convexity and overjet. Result remained stable 24 months after treatment. The improvement can be quantified by the reduction in scores of orthodontic indices measured pre and post treatment. Conclusions:                        Management of Class II subdivision malocclusion requires careful planning. This paper presents a unique approach utilizing unilateral extractions and fixed functional appliance to address severe skeletal Class II discrepancy and the subdivision dilemma.

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 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 Management of Skeletal Class II Malocclusion in Non-Complaint Patient using Powerscope - A Case Report

2019 ◽  
Vol 9 (2) ◽  
pp. 77-81
Author(s):  
Akram Ansari ◽  
Abhay Kumar Jain ◽  
Ankit Singh ◽  
Priya Sharma ◽  
Muneeb Adil
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Ease Of Use ◽  
Patient Comfort ◽  
Adolescent Male ◽  
Class Ii Malocclusion ◽  
Functional Appliance ◽  
Skeletal Class ◽  
Fixed Functional Appliance ◽  
Skeletal Class Ii

Class II malocclusion in pubertal phase presents a major and a common challenge to orthodontists. Proper diagnosis and treatment planning in early stage help in preventing and intercepting the severity of malocclusion. In pubertal phase skeletal Class II malocclusion due to mandibular retrusion are best treated with functional appliance. In recent time PowerScope fixed functional appliance is gaining immense popularity as noncompliant Class II corrector. In the present case report an adolescent male patient having Class II division 1 malocclusion with functional jaw retrusion was treated using MBT 0.022” prescription and PowerScope appliance. 7-8 months of PowerScope wear obtained stable and successful results with improvement in facial profile, skeletal jaw relationship and mild increase in IMPA. It can thus be concluded that PowerScope gives good results in Class II correction with a combination of patient comfort and ease of use that was unmatched among other appliances

scholarly journals Long Term Stability of Skeletal Class II Treatment with Modified Bionator Followed by Fixed Appliance - A Case Report

2021 ◽  
Vol 10 (22) ◽  
pp. 1726-1731
Author(s):  
Harshil Naresh Joshi ◽  
Jay Soni ◽  
Santosh Kumar Goje ◽  
Arth Patel ◽  
Shireen Mann ◽  
...  
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Growth Patterns ◽  
Growth Potential ◽  
Human Populations ◽  
Skeletal Class ◽  
Class Ii Treatment ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

The most prevalent malocclusion seen in day-to-day practice is Class II division 1 malocclusion. Most patients with malocclusions in class II division 1 have an underlying skeletal difference between the maxilla and the mandible. The treatment of skeletal class II division 1 depends on the patient's age, the ability of growth potential, the seriousness of malocclusion, and the patient's adherence to treatment. Myofunctional equipment can be successfully used to treat rising patients with deficient mandible class II division 1 malocclusion. This case report shows a focus on Class II Division 1 care due to mandibular deficiency using modified bionator appliances accompanied by fixed mechanotherapy with growth modification approach. Class II Division 1 is one of the most widely encountered form of malocclusion in human populations. The common characteristic of Class II Div 1 malocclusion in growing children is mandibular retrusion, according to Dr. James McNamara.1 The prevalence of Skeletal Class II malocclusion is 15 % of the world's total population. Underlying difference between Maxillary & Mandibular jaw makes the Class II Div 1 malocclusion more complex than it appears. It’s due to a contribution of only maxilla, or only mandible, or a combination of both. The treatment of Class II division 1 relies on the patient's age, growth ability, degree of malocclusion, and patient compliance with therapy.1,2 The cases with retrognathic mandible must be addressed by altering the direction & amount of mandibular growth by using functional appliances.3 The Bionator is a tooth-borne appliance that significantly changes dental and skeletal component of the face through a repositioning of mandible in a more protrusive & balanced way, selective eruption of teeth and profile enhancement.4-7 The Balters Bionator was first introduced in 1960 by Wilhelm Balters as a functional appliance & still one of the most widely used removable appliances for correction of mandibular retrognathism.8 In functional orthopaedics, all aspects of genetically determined individual growth patterns are important, most particularly time, potential, and growth direction. Although during the prepubertal phase there is limited skeletal development, substantial growth occurs during puberty, but with great individual variation. To prevent damage to erupting teeth and to normalize jaw growth, early functional orthopaedic intervention in the prepubertal phase is used.9,10,11 The purpose of this case report is to illustrate how satisfactory results were obtained in the treatment of Class II division 1 malocclusion with modified Bionator in young patients. The positive facial, dental and cephalometric improvements are also illustrated, with the aid of proper diagnosis, amplified by excellent patient cooperation in case selection.

scholarly journals Management of Skeletal Class II in a Growing Patient Using a Headgear and a Fixed Functional Appliance, with a Three-Year Follow-up : An Indian Board of Orthodontics Case Report

2021 ◽  
Vol 55 (1) ◽  
pp. 85-91
Author(s):  
Shahistha Parveen ◽  
Rohan Mascarenhas
Keyword(s):  
Class Ii ◽  
Phase Iii ◽  
Functional Appliance ◽  
Skeletal Class ◽  
Fixed Functional Appliance ◽  
Curve Of Spee ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Skeletal Pattern ◽  
Treatment Objective

This case was submitted to the Indian Board of Orthodontics under category II for phase III examination, in December 2018. SP, a 13-year-old female patient, presented with the chief complaint of forwardly placed upper front teeth. On clinical examination, she was found to have class II division 1 malocclusion with an increased overjet and overbite, a class II skeletal pattern due to a prognathic maxilla and a retrognathic mandible with positive visual treatment objective (VTO), moderate crowding in the upper and lower arches, retained deciduous 54 and 55, an exaggerated Curve of Spee, and a midline discrepancy of 6 mm. The treatment objectives were to correct the skeletal pattern and molar and canine relation. The patient was treated with fixed mechanotherapy, along with a headgear and a fixed functional appliance (Forsus). At the end of the treatment, she showed improvement in the skeletal pattern, good posterior occlusion, and an improved overjet and overbite. A bonded fixed retainer in the lower arch and a Begg’s wraparound retainer in the upper arch were used. Occlusion remained stable 3 years after the treatment.

scholarly journals Correction of Unintended Aftermath of Fixed Functional Appliance in Class II Division 1 Malocclusion – A Case Report

2020 ◽  
Vol 05 (03) ◽  
pp. 176-179
Author(s):  
Dr. Yunus Amin ◽  
Dr. Terry Thomas Edathotty ◽  
Dr. Raja Sankeralingom ◽  
Dr. Ratna Parameswaran ◽  
Dr. Devaki Vijayalakshmi ◽  
...  
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Functional Appliance ◽  
Fixed Functional Appliance ◽  
Division 1 ◽  
Class Ii Division 1

scholarly journals Orthodontic treatment of Skeletal Class II Division 1 Malocclusion: A case report

2013 ◽  
Vol 2 (1) ◽  
pp. 24-28
Author(s):  
MW Ali ◽  
MZ Hossain ◽  
M Zaki
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Skeletal Class ◽  
Dental Research ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

DOI: http://dx.doi.org/10.3329/bjdre.v2i1.15575 Bangladesh Journal of Dental Research & Education Vol.2(1) 2012: 24-28

scholarly journals Mini implant orthodontic sebagai penjangkaran pada perawatan maloklusi kelas II skeletal dengan protrusi beratMini implant orthodontic as an anchorage in skeletal class II maloclussion with severe dental protrusion

2021 ◽  
Vol 33 (1) ◽  
pp. 71
Author(s):  
Maureen Antolis ◽  
Haru Setyo Anggani
Keyword(s):  
Case Report ◽  
Treatment Time ◽  
Treatment Plan ◽  
Class Ii ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Total Treatment Time ◽  
Soft Tissue Profile ◽  
Division 1 ◽  
Class Ii Division 1

Pendahuluan: Maloklusi kelas II skeletal memiliki gambaran morfologis yang khas, antara lain adalah protrusi gigi anterior atas, serta profil skeletal dan jaringan lunak cembung. Penatalaksanaan yang cermat terutama penjangkaran, diperlukan agar perawatan ortodonti berhasil, guna mengurangi derajat protrusi gigi anterior atas serta perbaikan profil. Tujuan laporan kasus ini menyampaikan keberhasilan mini implant orthodontic sebagai penjangkaran pada perawatan maloklusi kelas II skeletal dengan protrusi berat.Laporan kasus: Kasus pasien perempuan usia 22 tahun 2 bulan dengan Maloklusi kelas II skeletal, yang memiliki profil cembung, mandibula retrognatis, tipe wajah dolichofacial, jarak gigit besar, dengan riwayat rhinitis. Perawatan preadjusted edgewise dilakukan setelah ekstraksi kedua gigi premolar pertama atas yang diikuti dengan pemasangan Mini implant orthodontic sebagai penjangkaran. Total waktu perawatan adalah 38 bulan. Jarak dan tumpang gigit normal berhasil dicapai pada akhir perawatan, Adapun profil wajah pasien menunjukkan perubahan yang cukup bermakna.  Simpulan: Perawatan ortodonti dengan penjangkaran mini implant orthodontic efektif dalam penatalaksanaan pasien pada Maloklusi kelas II skeletal dengan protrusi berat.Kata kunci: Mini implant orthodontic, maloklusi kelas II skeletal, Protrusi gigi ABSTRACTIntroduction: Class II division 1 malocclusion is commonly associated with several specific morphological features, such as proclination of upper incisor and convex skeletal or soft tissue profile. Therefore, a meticulous treatment plan, particularly anchorage preparation, is needed to achieve satisfying improvement of these condition. Therefore, nowadays mini implants orthodontic have become a new strategy for treating skeletal Class II patients with severe protrusion. Case report: The case report describes the camouflage treatment of a 22-year-old woman with a Class II division 1 malocclusion, characterized by a large overjet, convex profile, retrognathic mandible, dolichofacial, and a history of rhinitis. Treatment involved extraction of upper first premolars and mini implant orthodontic as anchorage during space closure. The total treatment time was 38 months. Ideal overjet and overbite were achieved, and the facial profile was improved significantly. Conclusion: Orthodontic treatment with Orthodontic mini implant as an anchorage is effective in management of Class II division 1 malocclusion with severe protrusion.Keywords : Mini implant orthodontic, Class II malocclusion, dental protrusion

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