scholarly journals Different approaches to the treatment of skeletal Class II malocclusion during growth: Bionator versus extraoral appliance

2020 ◽  
Vol 25 (2) ◽  
pp. 69-85 ◽  
Author(s):  
Renato Barcellos Rédua
Keyword(s):  
Treatment Plan ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Facial Esthetics ◽  
Significant Incidence ◽  
Division 1 ◽  
Treatment Alternatives

ABSTRACT Introduction: Class II malocclusion, which has a significant incidence in the population, may compromise facial esthetics and the smile, as well as the masticatory and respiratory functions. Often associated with skeletal abnormalities, it severely affects and compromises quality of life. An accurate diagnosis is fundamental to prepare a treatment plan to correct dental and skeletal anomalies. Objectives: This study discusses treatment alternatives to the correction of Class II division 1 and 2 malocclusion in growing patients, using a Bionator and an extraoral appliance.

Uso de propulsor mandibular fixo Flex Developer como recurso no tratamento da Classe II em paciente não colaborador

2020 ◽  
Vol 13 (52) ◽  
pp. 40-51
Author(s):  
Renato Barcellos Rédua
Keyword(s):  
Upper Airway ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Advantages And Disadvantages ◽  
Skeletal Class Ii ◽  
High Incidence ◽  
Therapeutic Alternatives ◽  
Smile Aesthetics ◽  
Treatment Alternatives

Class II malocclusion has a high incidence in the population, which may compromise smile aesthetics, occlusion function and stability. Skeletal Class II may affect facial aesthetics and upper airway volume. Class II malocclusion is routinely associated with skeletal Class II condition, having as treatment alternatives the use of Extra Buccal Appliance (EBA) or removable or fixed propulsor appliance. This article describes a case of a patient who did not accept the use of EBA and so it was fitted a Flex Developer propulsor for Class II correction and discussed the advantages and disadvantages of therapeutic alternatives for Class II correction.

scholarly journals A combined Surgical-Orthodontic treatment in skeletal Class II malocclusion patients

2021 ◽  
Vol 3 (2) ◽  
pp. 82-87
Author(s):  
Prathyaksha Shetty ◽  
Dipjyothi Baruah ◽  
Amit Rekhawat ◽  
Karthik Cariappa ◽  
Sujala Ganapati Durgekar ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Mandibular Advancement ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Sagittal Split Osteotomy ◽  
Skeletal Class Ii ◽  
Facial Esthetics ◽  
Bilateral Sagittal Split Osteotomy ◽  
Common Problems

Skeletal Class II malocclusion with mandibular deficiency is one of the most common problems that patients seek treatment. Adult patients with severe skeletal Class II malocclusion need orthognathic surgery for successful treatment. Bilateral sagittal split osteotomy (BSSO) is the most often preferred technique for these patients. This case report briefs about two male patient of age 24 years presented with Class II Skeletal relation, mesoprosopic facial form, horizontal growth pattern and Angle’s Class II div 1 malocclusion who were treated with Bilateral sagittal split osteotomy (BSSO) mandibular advancement. The ideal anteroposterior relation was established along with a Class I molar, incisor, canine relationship and ideal overjet, overbite and the overall facial esthetics were significantly improved. Combined surgical-orthodontic treatment aims to obtain a more harmonious facial, skeletal, dental and soft tissue relationship with an added patient self esteem.

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.

Orthopedic approach in the treatment of a skeletal class II division 1 malocclusion with an anterior open bite

2005 ◽  
Vol 29 (3) ◽  
pp. 205-210
Author(s):  
N. Al-Sulaiti ◽  
G. White
Keyword(s):  
Class Ii ◽  
Open Bite ◽  
Mixed Dentition ◽  
Class Ii Malocclusion ◽  
Facial Bones ◽  
Anterior Open Bite ◽  
Correct Position ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Division 1

The patient presented with it skeletal class II malocclusion characterized by an anterior open bite and maxillary midline deviation. This mixed dentition case was treated orthopedically with MRI appliance to rotate and impact the maxilla. A Bionator was used advance the mandible. The case was completed using Occlus-O-Guide. The result showed that the facial bones and teeth appear in the correct position.

Classe II, divisão 1 – da dentição mista à permanente com aparelho ortopédico funcional e fixo

2021 ◽  
Vol 14 (54) ◽  
pp. 62-72
Author(s):  
Ivan Pedro Taffarel ◽  
Fernando Augusto Casagrande ◽  
Itamar Antonio Taffarel ◽  
Thiago Martins Meira ◽  
Orlando Tanaka
Keyword(s):  
Orthodontic Treatment ◽  
Functional Results ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Maxillary Expansion ◽  
Two Phase ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
The Face

Orthodontic treatment of Class II, division 1 malocclusion in one or two phases is still controversial in contemporary Orthodontics. The present clinical case presents the orthodontic treatment of a 6-year-old patient with aesthetic complaint regarding the smile and bullying, presenting skeletal Class II, Class II malocclusion, Angle division 1, overjet with exaggerated protrusion of the maxillary incisors, exaggerated overbite with the lower incisors touching the palatal mucosa, absence of lip sealing and concave inferior face profile. In Phase I, rapid maxillary expansion was performed with Hyrax-type expander together with the Herbst fixed functional orthopedic device for 11 months. In Phase II, the fixed orthodontic appliance associated with intermaxillary elastics was used for 13 months. The two-phase treatment of Class II malocclusion, division 1 showed to be effective after 24 months, establishing adequate occlusal and functional results and improving the aesthetics of the lower third of the face.

scholarly journals Effect of functional appliance therapy on the quality of life in skeletal Class II malocclusion

2021 ◽  
Vol 34 (2) ◽  
pp. 225-231
Author(s):  
Mohammad Moslem Imani ◽  
Elaheh Seyed Tabaii ◽  
Saba Jamshidi ◽  
Sepideh Arab
Keyword(s):  
Quality Of Life ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Functional Appliance ◽  
Skeletal Class ◽  
Skeletal Class Ii

scholarly journals Timely Combination Therapy of Skeletal and Dental Class II malocclusion with Temporary Anchorage Device and Mesially Impacted Mandibular 2ndMolars: A Case-Report

2021 ◽  
Vol 20 (3) ◽  
pp. 682-690
Author(s):  
Norma Ab Rahman ◽  
Mohammad Khursheed Alam ◽  
Aida Nur Ashikin Ab Rahman ◽  
Wey Mang Chek
Keyword(s):  
Treatment Plan ◽  
Medical Science ◽  
Third Molar ◽  
Cost Effective ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Maxillary Expansion ◽  
Time Saving ◽  
Skeletal Class ◽  
Skeletal Class Ii

Introduction: Patient is a 14 years old Chinese boy presented with skeletal Class II with incompetent lips, severe dental Class II malocclusion and severe crowding complicated with both sides mesio-angular impacted of mandibular 2nd molars. Treatment Plan: Growth modification using functional appliance for skeletal Class II correction with maxillary arch expansion and correction of mandibular plane angle by intrusion of maxillary molars. Extraction of lower 1st premolars and 2nd molars on both sides was carried out in conjunction with fixed orthodontic alignment and to facilitate of spontaneous eruption of lower third molar. Midline correction was followed by space closure and finishing and detailing. Results: Alignment of upper arch in the regained space with maxillary expansion without any extraction was done. Anterior maxillary dentitions were retracted using Temporary Skeletal Anchorage Devices (TSADs). In lower arch 1st molars were mesially protracted by using class II elastics. 3rd molars spontaneously erupted in the extraction space of 2nd molar. Midline corrected with good facial profile and competent lips. Conclusions: Timely execution of expert treatment plan can bring cost effective and time saving results with minimum loss. By proper counseling, patient compliance and confidence can be boosted which could have a positive effect on the treatment outcome. Bangladesh Journal of Medical Science Vol.20(3) 2021 p.682-690

scholarly journals Orthodontic management of skeletal class II malocclusion with horizontally impacted maxillary canine: A case report

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Sanjay Prasad Gupta ◽  
Dr. Shristi Rauniyar
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Functional Appliance ◽  
Maxillary Canine ◽  
Twin Block ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Skeletal Class Ii

Management of skeletal class II relation in growing patient require careful evaluation of growth status, proper diagnosis and treatment plan to address the patient’s need. Twin block is the appliance of choice among functional appliance to correct the skeletal class II malocclusion due to it’s acceptability by the patient and simplified design. Maxillary canine impaction is the second most prevalent impaction after the third molars. Treatment of maxillary canine impaction is usually a challenge to orthodontic approach as the defect lies in the esthetic region of the jaw. This case report describes the orthodontic management of a 9 years male patient having skeletal Class II malocclusion with horizontally impacted maxillary canine. Some modifications in the treatment mechanics are deemed essential to address the patient’s need for achieving the optimal esthetic and to improve the occlusion. Twin block is beneficial for the treatment of skeletal malocclusion in a growing patient to achieve the maximum benefit. The orientation of impacted teeth may change from horizontal to favorable one, hence it should be considered a viable treatment alternative. In such case, early diagnosis and interception at the right time along with radiographic follow-ups are necessary to achieve successful results. Keywords: Canine Impaction, Class II malocclusion, Growth modification, Twin block appliance

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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