Skeletal Class II Malocclusion Treated with AdvanSync 2 - A Case Report

Treatment of complex malocclusion poses a challenge for the orthodontist because of its multifactorial aetiology. Class II malocclusion is the most frequently encountered and treated malocclusion in orthodontic practice and affects approximately 14.6 % of the North Indian population.1 A common reason for Class II malocclusion is mandibular skeletal retrusion which is the most common characteristic, as reported by McNamara.2 This can be caused by genetic or hereditary factors. When evaluating treatment options for Class II patients, the extent of the skeletal discrepancy and the skeletal maturity of the patient needs to be considered. Treatment may range from dental compensation including camouflage with extractions to surgical procedures targeted at moving the jaw at fault. In growing patients, growth modification with functional appliances offers an intermediate treatment option. Functional appliances are basically of two types; Removable and Fixed. Removable functional appliances such as Activator, Bionator, Frankel Function regulator and Twin Block appliance change Class II relationship by the transmission of soft tissue tension to the dentition. Treatment success with these appliances relies heavily on patient compliance. Therefore, in non-compliant patients, fixed Class II correctors in conjunction with fixed orthodontic appliances are the best choice.3 Fixed functional appliances generate continuous stimuli for mandibular growth without break and permit better adaptation to functions like mastication, swallowing, speech and respiration.1 The Herbst fixed functional appliance has been used routinely for Class II patients and has undergone many design variations over time.4 The AdvanSync2 Class II corrector is a recently introduced fixed functional appliance. It has a much smaller size than the conventional Herbst appliances, is easier to place, activate and remove and most importantly, can be used in conjunction with full-arch fixed appliances throughout.3 Here we describe a case report of a patient treated with the AdvanSync2 Class II corrector and the findings observed in the sagittal and vertical dimensions

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

Orthodontic Journal of Nepal ◽

10.3126/ojn.v9i2.28421 ◽

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

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Management of severe Class II malocclusion with sequential modified twin block and fixed orthodontic appliances

APOS Trends in Orthodontics ◽

10.4103/2321-1407.177966 ◽

2016 ◽

Vol 6 ◽

pp. 113-118

Author(s):

Sonal Chowdhary

Keyword(s):

Class Ii ◽

Mandibular Advancement ◽

Orthodontic Appliances ◽

Class Ii Malocclusion ◽

Functional Appliance ◽

Deep Bite ◽

Twin Block ◽

Skeletal Class ◽

Skeletal Class Ii ◽

Fixed Orthodontic Appliances

Functional appliance is an effective way of treating skeletal Class II malocclusion in children and adolescents. A 12 months stepwise mandibular advancement protocol with Herbst appliance has been proved to enhance condylar growth and improve mandibular prognathism. The present case report documents a 12-year-old boy presenting with Angle’s Class II, division 1 malocclusion associated with excessive overjet (11 mm), 100% deep bite, and retrognathic mandible. He was treated by a phase I growth modification therapy using twin block appliance with lip pads in a stepwise mandibular advancement protocol followed by a phase II preadjusted Edgewise appliance therapy.

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Management of Severe Class II Malocclusion with Fixed Functional Appliance: Forsus

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1037 ◽

2011 ◽

Vol 12 (3) ◽

pp. 216-220 ◽

Cited By ~ 2

Author(s):

PS Vijayalakshmi ◽

AS Veereshi

Keyword(s):

Case Report ◽

Significant Role ◽

Orthognathic Surgery ◽

Class Ii ◽

Permanent Teeth ◽

Class Ii Malocclusion ◽

Functional Appliance ◽

Growth Modulation ◽

Fixed Functional Appliance ◽

Functional Appliances

ABSTRACT Background Management of class II malocclusion in adolescent patients by growth modulation is one of the most debated topics in orthodontics. Noncompliance has been a major concern for orthodontists. Case report This case report describes the management of severe class II malocclusion in adolescent patient using functional appliance system—Forsus to correct class II problems, which is clipped on to bands. This appliance has several advantages, as the patient cannot remove it. It acts on the teeth and jaws for 24 hours each day, patient cooperation is not a problem, and as a result the treatment time is short. There is lot of controversy about the use of functional appliances. Conclusion This case report illustrates that even today, functional appliances have a significant role in the management of class II malocclusion by using growth modulation. The growth modulation minimizes the necessity of extraction of permanent teeth and probably orthognathic surgery. Clinical significance Functional appliances have a significant role in the management of class II malocclusion. The growth modulation minimizes the necessity of extraction of permanent teeth and probably orthognathic surgery. How to cite this article Vijayalakshmi PS, Veereshi AS. Management of Severe Class II Malocclusion with Fixed Functional Appliance: Forsus. J Contemp Dent Pract 2011; 12(3):216-220.

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Treatment of Skeletal Class II Malocclusion Using a Fixed Functional Appliance

Journal of Contemporary Dentistry ◽

10.5005/jp-journals-10031-1057 ◽

2013 ◽

Vol 3 (3) ◽

pp. 153-158

Author(s):

Manish Suresh Sonawane ◽

Girish Ramchandra Karandikar ◽

Shaili Sanjay Shah ◽

Vinayak Shridharrao Kulkarni ◽

Hitesh Jagadish Burad

Keyword(s):

Female Patient ◽

Class Ii ◽

Patient Comfort ◽

Class Ii Malocclusion ◽

Initial Alignment ◽

Functional Appliance ◽

Skeletal Class ◽

Fixed Functional Appliance ◽

Skeletal Class Ii ◽

Functional Appliances

ABSTRACT Treatment of class II malocclusion has always been an enigma to the orthodontic fraternity. Noncompliant correction of class II malocclusion using fixed functional appliances at the deceleration stage of growth has gained tremendous popularity in the recent times. Aim of the illustrated article is to demonstrate the efficacy of a fixed functional appliance in correction of class II malocclusion. We are reporting a 12-year-old female patient with a skeletal class II malocclusion treated using the Forsus appliance. Forsus FRD was the best option considering age, patient comfort, ease of installation, predictable results and patient compliance. The appliance was worn for 5 months after the initial alignment with fixed mechanotherapy (MBT 0.022"). The mandible was brought forward to a class I skeletal and dental relationship by the end of this phase of treatment. How to cite this article Shah SS, Karandikar GR, Sonawane MS, Kulkarni VS, Burad HJ. Treatment of Skeletal Class II Malocclusion Using a Fixed Functional Appliance. J Contemp Dent 2013;3(3):153-158.

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Treatment of a skeletal Class II malocclusion using fixed functional appliance with miniplate anchorage

European Journal of Dentistry ◽

10.4103/1305-7456.130637 ◽

2014 ◽

Vol 08 (02) ◽

pp. 276-280 ◽

Cited By ~ 15

Author(s):

Mevlut Celikoglu ◽

Tuba Unal ◽

Mehmet Bayram ◽

Celal Candirli

Keyword(s):

Class Ii ◽

Class Ii Malocclusion ◽

Functional Appliance ◽

Present Case Report ◽

Skeletal Class ◽

Fixed Functional Appliance ◽

Skeletal Class Ii ◽

Fixed Appliances ◽

Mandibular Retrusion ◽

Leveling And Alignment

ABSTRACTBased on our literature search, we found that the use of miniplate anchorage with Forsus fatigue-resistance device (FRD) has not yet been reported. Therefore, the aim of the present case report was to present the treatment of a patient with skeletal Class II malocclusion with mandibular retrusion using Forsus FRD with miniplate anchorage. Fixed appliances with 0.022-inch slots were attached to the maxillary teeth and after 8 months of the leveling and alignment of the upper arch, 0.019 × 0.025-inch stainless steel archwire was inserted and cinched back. Two weeks after the placement of the miniplates bilaterally at the symphysis of the mandible, Forsus FRD was adjusted to the miniplates with a 35-mm length of rod chosen. Nine months after the skeletal anchored Forsus worn, Class I canine and molar relations were achieved and overjet was eliminated.

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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

The Journal of Indian Orthodontic Society ◽

10.1177/03015742211004436 ◽

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.

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