scholarly journals Indian Board of Orthodontics Case Report: Management of Class II Skeletal Malocclusion Using 2-Phase Treatment

2021 ◽  
Vol 55 (4) ◽  
pp. 418-423
Author(s):  
T. Shobbana Devi
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Maturation Stage ◽  
Lower Lip ◽  
Fixed Appliance ◽  
Skeletal Malocclusion ◽  
Horizontal Growth ◽  
Growth Modification ◽  
Treatment Objective ◽  
Cervical Maturation

KL, a 12-year-old boy, presented with a class II Div I malocclusion on a class II skeletal base (retrognathic mandible) with a 7-mm overjet and a horizontal growth pattern. He had a convex profile, incompetent lips, lip trap, deep mentolabial sulcus, everted lower lip, and positive visual treatment objective (VTO). KL had a CS2 cervical maturation stage, which indicates 65% to 85% adolescent growth remaining. Treatment involved growth modification using a removable Twin Block with midpalatal expansion screw. This was followed by upper and lower fixed appliance using 0.022” × 0.028” slot Mclaughlin Bennet and Trevisi (MBT) prescription. The retention protocol involved upper wrap around and lower lingual bonded retainer.

scholarly journals Orthodontic Management of a Patient with Cerebral Palsy: Six Years Follow-up

2014 ◽  
Vol 15 (4) ◽  
pp. 491-495 ◽  
Author(s):  
Fidan Alakus Sabuncuoglu ◽  
Erkan Özcan
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Orthodontic Treatment ◽  
Muscle Tone ◽  
Class Ii ◽  
Mixed Dentition ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Growth Modification

ABSTRACT Aim Cerebral palsy (CP) is a disorder that affects muscle tone, movement and motor skills. CP can also lead to other health issues, including vision, hearing and speech problems, as well as learning disabilities and dental problems. A case report describing the successful orthodontic treatment of a 10-year-old boy with the dyskinesia type of CP and severe malocclusion is presented. Materials and methods A 10-year and 2-month old boy was presented by his parents for orthodontic treatment, complaining of his unsatisfactory occlusion and poor chewing efficacy. An extraoral examination showed a convex profile. An intraoral examination showed the patient to be in mixed dentition with a class II molar relationship, 10 mm overjet and 4 mm overbite. In addition, his maxillary and mandibular arches were severely crowded. Cephalometric analysis indicated a severe skeletal class II discrepancy, which was confirmed by an ANB of 12°. The first phase of treatment involved the use of twin blocks with a headgear tube to attempt some growth modification and reduce the overjet. Once it was clear that the appliance was being well tolerated and the oral hygiene was satisfactory, the fixed appliance was used. Results Because of the good participation of the patient and his parents, orthodontic treatment was successful in the patient, achieving a normal overjet in combination with successful orofacial therapy. Conclusion As demonstrated in our case report, the success of the treatment was dependent on the cooperation of the patient and his parents. Furthermore, this case illustrates the importance of the treatment by a dental team in patients with CP. How to cite this article Sabuncuoglu FA, Özcan E. Orthodontic Management of a Patient with Cerebral Palsy: Six Years Followup. J Contemp Dent Pract 2014;15(4):491-495.

scholarly journals Skeletal class II malocclusion correction using the Bass appliance

2014 ◽  
Vol 5 ◽  
pp. 44-48
Author(s):  
Jigar Doshi ◽  
Tarulatha Revanappa Shyagali ◽  
Kalyani M. Trivedi
Keyword(s):  
Case Report ◽  
Present Article ◽  
Growth Period ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Growth Modification

Skeletal class II malocclusion is best treated by growth modification using the myofunctional appliances or the orthopedic appliances or the combination of the both depending upon the type of malocclusion encountered during the growth period of an individual. Though all myofunctional appliances work on the same principle with few basic differences; the orthodontist has to make a choice among the plethora of the appliances at his disposal. The present article is a case report of class II malocclusion treatment using the Bass appliance for the growth modification, which was followed by fixed appliance for the occlusal detailing.

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 Analysis of Patients with Skeletal Malocclusion Undergoing Orthognathic Surgery Along with Fixed Orthodontics in a Dental Hospital Setup

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 385-391
Author(s):  
Pooja Umaiyal M ◽  
Saravana Dinesh S P ◽  
Jaiganesh Ramamurthy
Keyword(s):  
Orthognathic Surgery ◽  
Class Ii ◽  
P Value ◽  
Class Iii ◽  
Chi Square ◽  
Fixed Appliance ◽  
Skeletal Malocclusion ◽  
Division 1 ◽  
Dental Hospital ◽  
Chi Square Test

Lately, people have become more conscious about their physical appearance. Orthodontic treatment has no doubt in providing a significant effect on facial aesthetics. Commonly treated dental and skeletal malocclusion includes class II and class III, skeletal malocclusions might need orthodontic fixed appliance, orthognathic surgery or a combination of both for its correction. The aim of this study is to analyse the prevalence percentage of patients with skeletal malocclusion undergoing orthognathic surgery along with fixed orthodontics. We reviewed and analysed the data of 86000 patients who visited a dental institutional hospital between June 2019 and March 2020. A total of 60 patients were chosen to be included in this retrospective study. They were diagnosed with either class II or class III malocclusions. Socio-demographic and clinical data of all the 60 patients were collected, such as age, gender, type of skeletal malocclusion, treatment suggested and treatment undergone were retrieved from the patient records provided by Saveetha Dental College and Hospitals. This data was tabulated in excel and analysed using SPSS software. Chi-Square test was performed, and the p-value was determined to evaluate the significance of the variables. Among the patients, 51.7% were males with the peak prevalence of reporting for skeletal malocclusion treatment at the age of 10-30 years (85%). Most predominant dental malocclusion being class II division 1 (38.3%) followed by class III(23.3%). Proclination (40%) and crowding (60%) were other common dental alignment issues in the maxillary and mandibular arches, respectively.

scholarly journals Management of a Skeletal Class II Malocclusion Using 2-Phase Treatment: An Indian Board of Orthodontics Case Report

2020 ◽  
Vol 54 (3) ◽  
pp. 240-247
Author(s):  
Snigdha Pattanaik
Keyword(s):  
Class Ii ◽  
Division I ◽  
Class Ii Malocclusion ◽  
Average Growth ◽  
Lower Lip ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Skeletal Class Ii ◽  
Nasolabial Angle ◽  
Tongue Thrust

PK, a 12-year-old female patient, was diagnosed with skeletal Class II due to retrognathic mandible, average growth pattern, Angle’s Class II, Division I malocclusion with Class II canine relation, mild upper anterior spacing, upper anterior proclination, uprighted lower anterior, lingually tipped 35, increased overjet and overbite, scissor bite Irt 24, 25, acute nasolabial angle, tongue thrust habit, incompetent lips, and lower lip trap. The nonextraction approach to orthodontic treatment was involved. The skeletal malocclusion was corrected using the twin-block appliance, followed by upper and lower pre-adjusted edgewise appliances (0.022 × 0.028 slot) with the MBT prescription.

scholarly journals Combined Orthodontic and Surgical Approach in the Correction of a Class III Skeletal Malocclusion with Mandibular Prognathism and Vertical Maxillary Excess Using Bimaxillary Osteotomy

2013 ◽  
Vol 2013 ◽  
pp. 1-12
Author(s):  
George Jose Cherackal ◽  
Eapen Thomas ◽  
Akhilesh Prathap
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Current Treatment ◽  
Class Iii ◽  
Mandibular Prognathism ◽  
Skeletal Malocclusion ◽  
Growth Modification ◽  
Treatment Surgery

For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment. Surgery is not a substitute for orthodontics in these patients. Instead, it must be properly coordinated with orthodontics and other dental treatments to achieve good overall results. Dramatic progress in recent years has made it possible for combined surgical orthodontic treatment to be carried out successfully for patients with a severe dentofacial problem of any type. This case report provides an overview of the current treatment methodology in managing a combination of asymmetrical mandibular prognathism and vertical maxillary excess.

scholarly journals Two-Phase Treatment of a Growing Patient with a Skeletal Class II

2013 ◽  
Vol 3 (1) ◽  
pp. 40-43
Author(s):  
Shashank Sharad Gaikwad ◽  
Manish Suresh Sonawane ◽  
Girish Ramchandra Karandikar ◽  
Priyanka Anil Pawar ◽  
Shaili Sanjay Shah
Keyword(s):  
Class Ii ◽  
Two Phase ◽  
Lower Lip ◽  
Fixed Appliance ◽  
Twin Block ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Space Closure ◽  
Skeletal Change ◽  
Functional Appliances

ABSTRACT Functional appliances have been used for many years in the treatment of class II malocclusions. They redirect the growth of mandible bringing about a skeletal change in a growing patient. In case of any remaining dental discrepancy, a fixed appliance is obligatory. This patient was an 11-year-old growing female with a convex profile, receding chin, lower lip trap, class II skeletal and dental relationship, a large overjet and overbite and a high maxillary labial frenum attachment. Treatment started with the Twin-block appliance with an expansion screw to achieve transverse correction, promote growth of the mandible and improve her profile. This was followed by fixed appliance mechanotherapy to align and level the dentition, close spaces and retract the maxillary anteriors. Frenectomy was carried out after space closure. How to cite this article Sonawane MS, Karandikar GR, Gaikwad SS, Pawar PA, Shah SS. Two-Phase Treatment of a Growing Patient with a Skeletal Class II. J Contemp Dent 2013;3(1):40-43.

scholarly journals A Tailored Approach for Growth Modification: An Innovative Approach

2017 ◽  
Vol 8 (4) ◽  
pp. 334-342
Author(s):  
Ranjit Kamble ◽  
Narendra S Sharma ◽  
Sunita Shrivastav ◽  
Preethi Sharma
Keyword(s):  
Class Ii ◽  
Innovative Approach ◽  
Treatment Result ◽  
Growth Spurt ◽  
Large Sample Size ◽  
Lower Incisor ◽  
Skeletal Malocclusion ◽  
Division 1 ◽  
Growth Modification ◽  
Tailored Approach

ABSTRACT Aim The aim of this study is to evaluate the treatment effects of the clear block appliance during comprehensive correction of class II malocclusion in growing patients. Introduction Sagittal discrepancy commonly exists in skeletal class II malocclusions. The popular of the class II malocclusions is division 1 type among them. The presence of original skeletal jaw abnormality is the origin of the class II malocclusions. The treatment result of such skeletal malocclusion depends on the age, latent growth, and cooperation of the individual. The class II division 1 malocclusion in a growing individual can be successfully treated with different types of myofunctional appliance. The present article illustrates a new approach (clear block appliance) to correct sagittal discrepancy to make optimal use of the patient's pubertal growth spurt to achieve best possible results. Based on the results in these patients, the clear block appliance was very effective in correcting class II malocclusions. Although the results are positive, they should be tested on a large sample size. Clinical significance Clear block appliance proved to be the best alternative to other myofunctional appliances, where side effects in the form of anchorage loss or proclination of lower incisor do not occur with similar results. How to cite this article Sharma N, Shrivastav S, Kamble R, Sharma P. A Tailored Approach for Growth Modification: An Innovative Approach. World J Dent 2017;8(4):334-342.

scholarly journals Evaluation of Profile Changes in Class II Individuals Treated by Means of Herbst Miniscope Appliance

2020 ◽  
Vol 8 (1) ◽  
pp. 27 ◽  
Author(s):  
Stefano Martina ◽  
Maria Luisa Di Stefano ◽  
Francesco Paolo Paduano ◽  
Domenico Aiello ◽  
Rosa Valletta ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Class Ii ◽  
Maturation Stage ◽  
Class Ii Malocclusion ◽  
Herbst Appliance ◽  
Lower Lip ◽  
Lower Jaw ◽  
Profile Changes ◽  
The Difference ◽  
Mandibular Retrusion

Background: To evaluate the profile changes following orthopedic/orthodontic treatment with the Herbst Miniscope® appliance in subjects affected with Class II malocclusion with mandibular retrusion. Methods: A total of 44 patients presenting a skeletal Angle Class II malocclusion (ANB > 4°) due to mandibular retrusion and a cervical maturation stage between CS2 and CS3 were included in the study. Of these 44 patients, 22 (mean age 11.9 ± 1.3, HBT group) were treated using the Herbst appliance, while 22 (mean age 10.6 ± 1.3, CTR group) were followed for a 12-month observational period. A cephalometric tracing was performed at the beginning of treatment (T0) and after 12 months (T1). Results: In both groups there was a significant advancement of soft tissue pogonion (HBT = 3.5 ± 3.0 mm, p < 0.001; CTR = 2.2 ± 2.9 mm, p < 0.001), but the difference between the two groups was not significant (p = 0.172). On the contrary, both groups had a significant advancement of the mandibular sulcus (HBT = 3.7 ± 2.8 mm, p < 0.001; CTR = 1.2 ± 2.2 mm, p < 0.001) and a lower lip protrusion (HBT = 3.45 ± 2.51 mm, p < 0.001; CTR = 1.7 ± 2.7 mm, p = 0.008), but in both cases the HBT group showed a statistically significant greater increase in sulcus protrusion (p = 0.002) and lower lip protrusion (p = 0.029) than controls. There were no statistically significant effects on the upper jaw. Conclusions: The Herbst appliance advanced the lower jaw soft tissues.

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