O tratamento compensatório da Classe II e mordida aberta esquelética com bráquetes autoligados – relato de caso

2021 ◽  
Vol 14 (53) ◽  
pp. 48-55
Author(s):  
Daniel Ferraz Lima ◽  
Marina Lima Anjos ◽  
Layla Santos Carvalho ◽  
Clarissa Izabella Oliveira Santos ◽  
Patricia Maria Coelho ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Treatment Success ◽  
Class Ii ◽  
The Self ◽  
Class Ii Malocclusion ◽  
Therapeutic Goals ◽  
Number Of Patients ◽  
Facial Pattern ◽  
Compensatory Treatment ◽  
Class Ii Elastics

Class II malocclusion can be dental, skeletal or a combination of both and is present in approximately 60% of patients seeking corrective orthodontic treatment. Facial Pattern II patient often needs dental decompensation associated with orthognathic surgery to correct the bone bases. With the increasing use of the self-ligating system in Orthodontics, the number of patients who were indicated for extraction as part of their treatment has decreased considerably. Compensatory treatment aims to minimize skeletal deformities with dento-alveolar movements. This paper reports through a clinical case, the efficiency of the self-ligating system in Pattern II patient without extractions with expansionist therapeutic goals in association with the use of Class II elastics. Due to the patient’s rejection of orthognathic surgery, the compensatory treatment resulted in the camouflage of the skeletal discrepancies through the self-ligating system. Despite the surgical indication, the compensatory treatment presented significant dental movements, resulting in treatment success with considerable facial improvement.

Vertical facial pattern and sagittal relationship in patients with Class II malocclusion: Are they interrelated?

2012 ◽  
Vol 1 (3) ◽  
pp. e115-e120
Author(s):  
Humam Saltaji ◽  
Carlos Flores-Mir ◽  
Paul W. Major ◽  
Mohamed Youssef
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Facial Pattern

scholarly journals Comparative Study on the Efficiency of Intermaxillary Elastic Polymers used in the Treatment of Skeletal Class II Malocclusions in Growing Patients

2019 ◽  
Vol 56 (2) ◽  
pp. 341-345 ◽  
Author(s):  
Luminita Ligia Vaida ◽  
Raluca Dima ◽  
Emilia Albinita Cuc ◽  
Bianca Maria Negrutiu ◽  
Abel Emanuel Moca ◽  
...  
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Therapeutic Approaches ◽  
Mandibular Growth ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Orthodontic Patients ◽  
Group 2 ◽  
Class Ii Elastics ◽  
Group 1

The aim of this study was to evaluate the efficiency in using intermaxillary elastics to stimulate mandibular growth and advancement in orthodontic patients diagnosed with skeletal Class II malocclusion as well as to compare the use of these Class II elastics in two different therapeutic approaches. The sample consisted of 60 orthodontic patients aged 10-15 years, 34 girls and 26 boys. The sample was divided into two equal groups (each consisting of 30 patients). Patients belonging to the first group (Group 1) were subjected to 1/4�� - 6.0 oz elastics and were advised to change the elastic every 24 hours. Patients belonging to the second group (Group 2) were subjected to 1/4�- 4.5 oz elastics but with a recommendation to change the elastics every 12 hours. In order to evaluate the effectiveness of these two types of Class II elastics on mandibular growth and advancement, the value of the SNB angle at the beginning of the treatment (T1) was compared with the value of the SNB angle after 5 months of wearing intermaxillary elastics (T2). All patients showed statistically significant increased values of the SNB angle during the orthodontic treatment (p[0.001). Patients in Group 2 showed a significantly higher statistical increase (p[0.05) than patients in Group 1.

scholarly journals Experiencing your own orthognathic surgery: A personal case report

2014 ◽  
Vol 85 (5) ◽  
pp. 890-896
Author(s):  
Gertjan Mensink ◽  
Peter Gooris ◽  
Florine Mulder ◽  
Christel Gooris-Kuipers ◽  
Richard van Merkesteyn
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Orthognathic Surgery ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Critical Perspective ◽  
Bilateral Sagittal Split Osteotomy ◽  
Division 2 ◽  
Personal Case

ABSTRACT There has been much research on minimizing the side effects of orthognathic surgery. However, there are very few doctors and researchers who themselves have undergone this surgery. This case report describes the findings of a maxillofacial surgeon who underwent combined orthodontic and orthognathic treatment for correction of Class II malocclusion. In March 2012, the surgeon was referred to an orthodontist, and an orthodontic examination revealed a Class II, division 2, malocclusion with a traumatic palatal bite and attrition of the lower front teeth. The patient underwent alignment of the upper and lower arches, followed by a bilateral sagittal split osteotomy. During this treatment, he made many interesting observations and learned much as a patient, which can have implications in improving the outcomes and quality of care for patients receiving such treatment. Thus, this case report aims to provide a critical perspective of the surgical procedure and treatment from the viewpoint of a maxillofacial surgeon who himself experienced the surgery as a patient.

Root resorption in Class II malocclusion treatment with Class II elastics

2016 ◽  
Vol 150 (4) ◽  
pp. 585-591 ◽  
Author(s):  
Guilherme Janson ◽  
Ana Niederberger ◽  
Daniela Gamba Garib ◽  
Waleska Caldas
Keyword(s):  
Root Resorption ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Class Ii Elastics

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.

scholarly journals Relationship between Vertical Facial Pattern and Dental Arch Forms in Skeletal Class II Malocclusion

2019 ◽  
Vol 04 (09) ◽  
pp. 657-665
Author(s):  
Ankur Sharma ◽  
Aseem Sharma ◽  
Apurva Vaidya ◽  
Ambuj Chandana ◽  
Nandita Sood ◽  
...  
Keyword(s):  
Class Ii ◽  
Dental Arch ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Facial Pattern ◽  
Arch Forms

scholarly journals Effects of skeletally anchored Class II elastics: A pilot study and new approach for treating Class II malocclusion

2017 ◽  
Vol 87 (4) ◽  
pp. 505-512 ◽  
Author(s):  
Selin Ozbilek ◽  
Ahmet Yalcin Gungor ◽  
Salih Celik
Keyword(s):  
Class Ii ◽  
Matched Pair ◽  
Sign Test ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Significant Group ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Two Miniplates ◽  
Class Ii Elastics

ABSTRACT Objective: To evaluate the skeletal, dentoalveolar, and soft tissue effects of skeletally anchored Class II elastics and compare them with a matched control group treated by a monobloc appliance for the correction of skeletal Class II malocclusion due to mandibular retrusion. Materials and Methods: Twelve patients (6 girls, 6 boys) were randomly divided into two groups. In the elastics group, six patients (12.9 ± 1.5 years of age; 3 boys, 3 girls) were treated with skeletally anchored Class II elastics. Two miniplates were placed bilaterally at the ramus of the mandible and the other two miniplates were placed at the aperture piriformis area of the maxilla. In the monobloc group (3 boys and 3 girls; mean age, 12.3 ± 1.6 years), patients used the monobloc appliance. The changes observed in each phase of treatment were evaluated using the Wilcoxon matched-pair sign test. Intergroup comparisons at the initial phase of treatment were analyzed by the Mann-Whitney U test. Results: There were statistically significant group differences in Co-Gn, B-VRL, U1-PP, U1-VRL, Ls-VRL, with significant increases in these parameters in the elastics group (P < .05). The mandibular incisors were protruded in the monobloc group (5.45 ± 1.23°), whereas they were retruded in the elastics group (−3.01 ± 1.66°; P < .01). Conclusions: The undesirable dentoalveolar effects of the monobloc appliance were eliminated by using miniplate anchorage. Favorable skeletal outcomes can be achieved by skeletal anchorage therapies which could be an alternative to treat skeletal Class II patients with mandibular deficiency.

Tratamento da Classe II com Invisalign

2021 ◽  
Vol 14 (53) ◽  
pp. 107-119
Author(s):  
Alexandre Moro ◽  
Bruna Girotto Olinquevicz ◽  
Nathaly D. Morais ◽  
Stéffany dos Anjos Francisco ◽  
Francielle Topolski ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Treatment Options ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Clinical Report ◽  
Orthodontic Appliance ◽  
Dental Aesthetics ◽  
Tooth Extractions ◽  
Class Ii Elastics

Complete correction of Class II malocclusion in an adult patient is not an easy task. In a case with large skeletal discrepancy, orthognathic surgery is the treatment of choice. However, in case of slight or borderline discrepancy, other treatment options are available, such as tooth extractions and miniscrews. Intermediate cases can also be treated with Class II correctors and elastics. This clinical report presents the orthodontic treatment of a 25-year-old female patient with Class II malocclusion. Clinically, the maxilla was well positioned, and the mandible was slightly retruded. The patient presented vestibularized upper incisors, well-positioned lower incisors and opted for a more aesthetically attractive orthodontic appliance. The treatment plan included teeth leveling and aligning in both arches, Class II correction, establishment of Class I molar and canine relationships, correction of overjet and overbite, midline correction, and improvement of facial and dental aesthetics. The orthodontic treatment consisted of removable Invisalign aligners and Class II elastics.

scholarly journals Compensatory orthodontic treatment of Angle Class II malocclusion with posterior open bite

2013 ◽  
Vol 18 (5) ◽  
pp. 140-146 ◽  
Author(s):  
José Newton Torres
Keyword(s):  
Orthognathic Surgery ◽  
Previous Treatment ◽  
Class Ii ◽  
Open Bite ◽  
Class Ii Malocclusion ◽  
Present Case Report ◽  
Angle Class Ii ◽  
Angle Class ◽  
Adult Female Patient ◽  
Face Pattern

The present case report addresses the treatment of an Angle Class II malocclusion in an adult female patient, long face pattern, with posterior open bite and dental arches extremely expanded, due to previous treatment. The patient and parents rejection to a treatment with orthognathic surgery led to orthodontic camouflage of the skeletal discrepancies. This clinical case was presented to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO) as one of the requirements to become a BBO Diplomate.

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