scholarly journals Treatment of class II and class III maloccolusion by using churro jumper: an efficient, inexpensive and uncomplicated fixed flexible functional technique

2016 ◽  
Vol 4 (1) ◽  
pp. 9
Author(s):  
Shubhangi Amit Mani ◽  
Nilesh Mote ◽  
Kunal Dilip Pawar ◽  
Prashantkumar Mishra ◽  
Richa Anil Mishra ◽  
...  

Functional orthopedic treatment seeks to improve skeletal and dental relationship of the jaws. The challenging task is to correctly position jaws antero-posteriorly and vertically with correct overbite, overjet and Centric relation. The Churro Jumper is an efficient, inexpensive and uncomplicated fixed flexible functional appliance. It is used to evaluate the efficacy of the Churro Jumper appliance in treatment of skeletal Class II malocclusion with retrognathic mandible. Churro Jumper contributes in correction of Class II molar relationship by dento-alveolar effects on both jaws. There was up-righting of maxillary incisors and proclination of mandibular incisors. Churro Jumper is clinically efficient as well as effective appliance to correct skeletal class II malocclusion. The only problem with this appliance is its frequent breakage and oral hygiene maintenance causing inconvenience to both patient as well as operator.

2019 ◽  
Vol 24 (4) ◽  
pp. 63-72
Author(s):  
Sonia Patricia Plaza ◽  
Andreina Reimpell ◽  
Jaime Silva ◽  
Diana Montoya

ABSTRACT Objective: The purpose of this study was to establish the association between sagittal and vertical skeletal patterns and assess which cephalometric variables contribute to the possibility of developing skeletal Class II or Class III malocclusion. Methods: Cross-sectional study. The sample included pre-treatment lateral cephalogram radiographs from 548 subjects (325 female, 223 male) aged 18 to 66 years. Sagittal skeletal pattern was established by three different classification parameters (ANB angle, Wits and App-Bpp) and vertical skeletal pattern by SN-Mandibular plane angle. Cephalometric variables were measured using Dolphin software (Imaging and Management Solutions, Chatsworth, Calif, USA) by a previously calibrated operator. The statistical analysis was carried out with Chi-square test, ANOVA/Kruskal-Wallis test, and an ordinal multinomial regression model. Results: Evidence of association (p< 0.05) between sagittal and vertical skeletal patterns was found with a greater proportion of hyperdivergent skeletal pattern in Class II malocclusion using three parameters to assess the vertical pattern, and there was more prevalent hypodivergence in Class III malocclusion, considering ANB and App-Bpp measurements. Subjects with hyperdivergent skeletal pattern (odds ratio [OR]=1.85-3.65), maxillary prognathism (OR=2.67-24.88) and mandibular retrognathism (OR=2.57-22.65) had a significantly (p< 0.05) greater chance of developing skeletal Class II malocclusion. Meanwhile, subjects with maxillary retrognathism (OR=2.76-100.59) and mandibular prognathism (OR=5.92-21.50) had a significantly (p< 0.05) greater chance of developing skeletal Class III malocclusion. Conclusions: A relationship was found between Class II and Class III malocclusion with the vertical skeletal pattern. There is a tendency toward skeletal compensation with both vertical and sagittal malocclusions.


2014 ◽  
Vol 08 (02) ◽  
pp. 276-280 ◽  
Author(s):  
Mevlut Celikoglu ◽  
Tuba Unal ◽  
Mehmet Bayram ◽  
Celal Candirli

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.


2019 ◽  
Vol 9 (2) ◽  
pp. 77-81
Author(s):  
Akram Ansari ◽  
Abhay Kumar Jain ◽  
Ankit Singh ◽  
Priya Sharma ◽  
Muneeb Adil

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


2019 ◽  
Vol 53 (1) ◽  
pp. 62-68
Author(s):  
Suresh Gorantla ◽  
Madhurima Thokala ◽  
Darsana Maru ◽  
Prabhakar Veginadu ◽  
Sudha Sravani Konathala

2016 ◽  
Vol 6 (1) ◽  
pp. 75-79
Author(s):  
VK Ravindranath ◽  
Sachin Doshi ◽  
Prateek Navratan Daga

ABSTRACT The primary concern of the patient as well as their parent seeking orthodontic treatment is the sagittal relationship of the dentition and jaws. Twin block is the most common functional appliance used successfully in correction of growing patient with skeletal class II malocclusion. However, the method of using extraoral traction in combination with twin block appliance (twin block traction technique) is to reinforce the functional component for correction of a class II sagittal relationship. A 12-year-old male patient reported to the Department of Orthodontics with a chief complaint of forwardly placed upper front teeth. With the help of clinical examination, cephalometrics, and diagnostic records, the diagnosis of the patient was confirmed as skeletal class II maxillomandibular relationship with prognathic maxilla and retrognathic mandible with a vertical growth pattern. The patient was treated with twin block appliance along with headgear. The appliance design and postfunctional results are demonstrated in the following case report. Although twin block with high-pull headgear is known to produce favorable results in mixed dentition, the same was observed in permanent dentition during growth phase. Combination of twin block appliance with high pull headgear gave the desired results. How to cite this article Daga PN, Karandikar GR, Ravindranath VK, Doshi S. Correction of Skeletal Sagittal Dysplasia using Twin Block Traction Technique. J Contemp Dent 2016;6(1): 75-79.


2019 ◽  
Vol 53 (1) ◽  
pp. 62-68
Author(s):  
Suresh Gorantla ◽  
Madhurima Thokala ◽  
Darsana Maru ◽  
Prabhakar Veginadu ◽  
Sudha Sravani Konathala

Author(s):  
Gero Kinzinger ◽  
Jens Ostheimer ◽  
Frank Förster ◽  
Paul B. Kwandt ◽  
Helmut Reul ◽  
...  

2016 ◽  
Vol 6 ◽  
pp. 113-118
Author(s):  
Sonal Chowdhary

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.


2021 ◽  
Vol 34 (2) ◽  
pp. 225-231
Author(s):  
Mohammad Moslem Imani ◽  
Elaheh Seyed Tabaii ◽  
Saba Jamshidi ◽  
Sepideh Arab

2021 ◽  
Vol 3 (2) ◽  
pp. 76-80
Author(s):  
Sanjay Prasad Gupta ◽  
Samarika Dahal ◽  
Shristi Rauniyar

Background: During orthodontic consultation, the most frequent major complaint of the patients is dental crowding, which is caused by a disparity between the arch length and tooth size. Objective: The purpose of this study was to evaluate the association between crowding and the effective maxillary and mandibular length in Nepalese orthodontic patients.Methods: The orthodontic records of 390 people (from January 2018 to December 2020) were randomly selected and classified into three skeletal malocclusions based on the ANB angle (Angle formed by point A and point B at the nasion). Subjects with skeletal malocclusions were subdivided into two groups depending on the degree of crowding in the mandibular arch: Group 1 had crowding of < 3mm, and Group 2 had crowding of >3mm. On pretreatment casts, digital vernier calipers (Digimatic, Precise, India) were used to assess dental arch crowding, whereas, on a pretreatment lateral cephalogram, digital cephalometric analysis (Vistadent OC 1.1, USA) was done to quantify effective maxillary and mandibular length. Inter-group comparisons were assessed using a one-way analysis of variance. The correlation was assessed by Pearson’s correlation coefficient (p≤0.05).Results: There was a statistically significant difference in effective maxillary and mandibular length among skeletal malocclusions (p<0.05). Skeletal Class II malocclusion had the greatest mandibular crowding, while skeletal Class III malocclusion had the least. The effective maxillary and mandibular lengths and dental crowding had a significant but weak inverse correlation, whereas a strong but moderate positive correlation existed between the maxillary and mandibular effective lengths (r=0.674) and also between maxillary and mandibular crowding (r=0.631).Conclusion: Effective maxillary length was highest in skeletal class II malocclusion whereas effective mandibular length was highest in skeletal class III malocclusion. The shorter effective maxillary and mandibular lengths showed a weak association with dental crowding.


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