scholarly journals Dentofacial changes after treatment with prefabricated functional appliance T4CII

2013 ◽  
Vol 60 (2) ◽  
pp. 93-98
Author(s):  
Ema Aleksic ◽  
Maja Lalic ◽  
Jasmina Milic ◽  
Mihajlo Gajic ◽  
Zdenka Stojanovic

Introduction. Functional maxillary orthodontics has a large number of different mobile devices with different effects on craniomandibular system and great capabilities in solving many orthodontic problems. The aim of this article was to show the effects of 9-month treatment of malocclusion class II, division 1 in a 14-year-old female patient using pre-fabricated functional appliance Trainer T4CII. Case Outline. Skeletal distal relation, deep bite, increased overjet, narrowness and irregular position of upper and lower frontal teeth are indicated for orthodontic treatment with fixed appliance. After refusal of fixed appliance therapy, a female patient was proposed treatment with mobile orthodontic appliance. A pre-fabricated functional appliance Trainer T4CII was delivered to the patient. She was motivated and she was wearing appliance at night and 2-3 hours during the day. After 9 months of treatment there was a significant improvement in the position of upper and lower frontal teeth and reshaping of upper and lower dental arch, yet overbite and overjet were corrected. Conclusion. Surprisingly good and fast improvement of all problems within class II, division 1 in a 14-year-old patient was achieved with prefabricated functional appliance Trainer T4CII.

2020 ◽  
Vol 67 (3) ◽  
pp. 159-164
Author(s):  
Tina Pajevic ◽  
Jovana Juloski ◽  
Marija Zivkovic

Introduction. Orthodontic treatment of Class II Division 1 (II/1) malocclusions in adults can be challenging since skeletal effects are limited. Possible treatment options are orthodontic camouflage or orthognatic surgery, in severe cases. The aim of this paper was to present a successful management of Class II malocclusion in an adult patient using temporary anchorage devices (TADs). Case report. After detailed clinical examination, study models and cephalometric analysis, a 26 years old patient was diagnosed with Class II malocclusion, an overjet of 12 mm, congenitally missing tooth 41 and midline shifted to the right in upper dental arch. In prior orthodontic treatment, patient had upper premolars extracted. Posterior teeth in upper left quadrant were shifted mesially. The camouflage treatment was considered, using temporary anchorage devices (TADs) to distalize posterior teeth on the left side, and gain space for incisor retraction and midline correction in upper dental arch. Results. Using TADs as additional anchorage in anterior region and coil spring for molar distalization, the space was made for tooth 23, midline correction and incisor retraction. After 40 months, a satisfactory result was achieved, overjet and midline correction, class I canines occlusion and class II molar occlusion. Conclusion. Class II/1 malocclusion in adults can be successfully treated using TADs. The success depends on the severity of malocclusion and patient cooperation.


2018 ◽  
Vol 21 (3) ◽  
pp. 304
Author(s):  
J.-L. Raymond

The orthodontic treatment of severe class II division 1 malocclusions is often difficult, which leads some specialists to offer a surgical correction of the overjet. Treatment is made complex by the value of the horizontal overlap as much as the « depth » of deep bite that is very often present alongside the malocclusion. This is why we are offering a treatment protocol including a FABP (Fixed Anterior Bite Plate) which will allow, if the patient cooperates, to correct the anatomic anomaly while concurrently establishing new masticatory cycles in order to stabilize and preserve the results obtained. It is this systemic approach of treatment that is the focus of this article.


2016 ◽  
Vol 21 (1) ◽  
pp. 101-109 ◽  
Author(s):  
Kátia Montanha

Protrusion of maxillary incisors is a common complaint among patients seeking orthodontic treatment. This report addresses the correction of Class II Angle malocclusion with excessively bucally proclined maxillary incisors, in an adolescent female patient, through the use of extraoral and fixed appliances. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as part of the requirements for obtaining the title of certified by the BBO.


2016 ◽  
Vol 28 (2) ◽  
Author(s):  
Bebby Putri ◽  
Isnaniyah Malik ◽  
N R Yuliawati Zenab

Introduction: Dental arch width measurement is needed to determine diagnoses and orthodontic treatment planning of Angle Class II Division 1 and Class II Division 2  malocclusions that have narrow maxillary dental arch generally. Dental arch width in this study was measured by maxillary and mandibular intercanine width.  This study aimed to compare the differences of intercanine width between Angle Class II division 1 and Class II division 2 malocclusions. Methods: Descriptive comparative research with total samples of 67 study models, consisted of 34 Class II division 1 cases and 33 Class II division 2 cases. The minimum age of the samples chosen was 13 years old with no history of orthodontic treatment. A non probability consecutive sampling technique was used. Results: Study results showed the avarage maxillary and mandibular intercanine width of Class II Division 1 were 33,99 mm and 26,33 mm. Average maxillary and mandibular intercanine width of Class II Division 2 were 34,77 mm and 25,37 mm. Conclusions: T-test analysis showed no statistical significant differences in the intercanine width between Angle Class II Division 1 and Class II Division 2  malocclusions.


2019 ◽  
Vol 12 (4) ◽  
pp. 151-156
Author(s):  
Sridhar Premkumar ◽  
Varun Peter

Every treatment technique in the orthodontic specialty has its own set of advantages. Combining the techniques in an effective manner could result in a synergistic effect. Two such techniques are lingual orthodontics and functional orthopaedic appliances. This case report shows the effective and efficient use of a customized functional appliance, along with lingual orthodontics, in the management of Class II division 1 malocclusion. It emphasizes the importance of combining the benefits of different strategies of orthodontic treatment. CPD/Clinical Relevance: The use of a customized functional appliance along with lingual orthodontics can produce desirable changes in Class II division 1 cases and clinicians should be aware of these advantages.


2019 ◽  
Vol 9 ◽  
pp. 165-171
Author(s):  
Pornpan Jariyavithayakul ◽  
Chairat Charoemratrote

Objectives: The objectives of the study were to investigate the effect of lower posterior tooth extrusion on skeletal and dental changes in Class II division 1 deep bite short-faced growing patients. Materials and Methods: Twenty-two growing patients with Class II/1 malocclusion deep bite/short-face were treated using a pre-adjusted edgewise-fixed appliance. The curve of Spee (COS) was leveled by rectangular wire and posterior vertical elastic. Two consecutive lateral cephalometric radiographs were collected before and after treatment. Changes from the cephalometric analysis were compared with 22 untreated matched subjects during the observation period with independent t-test. Results: The reduction of deep bite from the COS in the treated group was 2.83 mm which was obtained by a greater amount of posterior extrusion (1.37 mm), than anterior intrusion (0.58 mm), and lower facial height significantly increased (3.70 mm). The treated group showed significant forward mandibular position from SNB (1.36°), Pg-Nperp (1.53 mm), and the skeletal relationship improved (ANB = −0.88°). The mandibular plane angles (SN-MP and FMA) showed no significant changes during treatment. Dental changes revealed significant decreases in overjet and overbite, whereas the position and inclination of the upper and lower incisors were not significantly different. Conclusions: The increase of lower facial height in Class II deep bite short-faced growing patients was successfully accomplished by lower posterior tooth extrusion with the use of rectangular wire with posterior vertical elastic. The mandibular plane angle did not change during treatment. Class II skeletal relationship improved by the forward position of the mandible in hypo- and normodivergent pattern subjects.


2020 ◽  
Vol 54 (4) ◽  
pp. 366-373
Author(s):  
B. Sangamesh

The improvement of facial aesthetics is one of the main reasons why patients with a class II division 1 malocclusion seek orthodontic treatment. There are various techniques available to treat class II malocclusions, one of which is a two-phase approach that includes functional jaw orthopedics as well as fixed orthodontic treatment. The following case report describes the case of a 12-year-old growing female patient AK with a severe class II division 1 malocclusion. The patient was treated initially with Haas-type rapid maxillary expansion. Pre-functional orthodontics was followed with a removable twin block functional appliance and a combination pull headgear for growth modification and correction of her overjet and profile. Thereafter, a fixed, pre-adjusted MBT (McLaughlin Bennet Trevsi) prescription orthodontic appliance was utilized following the extractions of the maxillary first premolars and two lower incisors in the final phase, to ensure well-aligned arches and improved aesthetics and function.


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Nugroho Ahmad Riyadi

The aim of orthodontics treatment is normalization of teeth position in three planes, using various orthodontics appliance to reach the chepalometric standar and normal occlusion. Orthodontic treatment for dentoskeletal class II division 1 malocclusion in growing patients using myofunctional appliance may correct anteroposterior planes of mandibula. This study was a descriptive retrospective analytic study to look at the success of Orthodontic treatment for dentoskeletal class II division 1 in growing patients with myofunctional appliance using chepalometrics analysis Steiner value. The sample used in this study is chepalogram radiographic from patient with dentoskeletal class II division 1 malocclusion in growing patients before and after using myofunctional appliance in PPDGS orthodontics Clinic of Padjadjaran University. Statistic analysis were performed with pair t-test and Wilcoxon. Based on this study, it is concluded that orthodontic treatment with myofunctional appliance such as activator and twin block in growing patient with dentoskeletal class II division 1 malocclusion shows significant changes and compatibility with the normal criteria.


2011 ◽  
Vol 25 (1) ◽  
pp. 56-62 ◽  
Author(s):  
Leandro Silva Marques ◽  
Mônica Costa Armond ◽  
Maria Letícia Ramos-Jorge ◽  
Raquel Gonçalves Vieira de Andrade ◽  
Ana Maria Bolognese

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