scholarly journals Class II correction by maxillary molar distalization with pendulum appliance - A case report

2021 ◽  
Vol 9 (1) ◽  
pp. 26-28
Author(s):  
Nivedita Nandeshwar ◽  
Sujoy Banerjee ◽  
Rashmi Jawalekar ◽  
Usha Shenoy

24 year male patient presented with skeletal class II base with prognathic maxilla and orthognathic mandible. Angles class II division 1 subdivision malocclusion with proclined upper and lower anteriors, increase overjet, increased overbite, spacing with upper and lower anteriors, scissor bite with 35, class I molar and canine relation on right side, end on molar and canine relation on left side. Distalization was planned in maxillary arch to correct end on molar relation on left side and upper incisor proclination. Unilateral Pendulum appliance was used to distalize upper left molar. Post treatment Class I molar relationship was achieved bilaterally within 2-4 months with incisor proclination reduced. The total treatment ended in 18 months.

2019 ◽  
Vol 17 (4) ◽  
pp. 817-825
Author(s):  
Frédéric Rafflenbeul ◽  
Hadrien Bonomi-Dunoyer ◽  
Thibaut Siebert ◽  
Yves Bolender

2013 ◽  
Vol 18 (4) ◽  
pp. 70-81
Author(s):  
Osama Hasan Alali

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.


2018 ◽  
Vol 8 (2) ◽  
pp. 55-59
Author(s):  
Ankita Gupta ◽  
Trilok Shrivastava

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.


Author(s):  
MW Ali ◽  
MZ Hossain

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


2021 ◽  
Vol 55 (2) ◽  
pp. 202-208
Author(s):  
Ashish Garg

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.


2021 ◽  
Vol 10 (22) ◽  
pp. 1726-1731
Author(s):  
Harshil Naresh Joshi ◽  
Jay Soni ◽  
Santosh Kumar Goje ◽  
Arth Patel ◽  
Shireen Mann ◽  
...  

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.


2017 ◽  
Vol 07 (03) ◽  
pp. 058-062
Author(s):  
Suraj Prasad Sinha ◽  
Akhil Shetty ◽  
M. S. Ravi ◽  
U.S. Krishna Nayak

AbstractA 13 year old growing male reported with a complaint of forwardly placed upper front teeth. The case was diagnosed to be Skeletal Class II due to retrognathic mandible. Since the patient was in the growing phase, two phase treatment was planned. The First phase comprised of mandibular advancement using TWIN BLOCK. The final finishing and detailing was achieved in the Second phase of treatment using 0.022 MBT Prescription (self-legating) to produce well-aligned arches in good function and aesthetics.


2013 ◽  
Vol 2 (1) ◽  
pp. 24-28
Author(s):  
MW Ali ◽  
MZ Hossain ◽  
M Zaki

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


2021 ◽  
Vol 33 (1) ◽  
pp. 71
Author(s):  
Maureen Antolis ◽  
Haru Setyo Anggani

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


Sign in / Sign up

Export Citation Format

Share Document