Tratamento em duas fases do padrão II com má oclusão de Classe II, divisão 1 por protrusão maxilar

2021 ◽  
Vol 14 (54) ◽  
pp. 49-61
Author(s):  
Jesus Maués Pinheiro Júnior ◽  
Amanda Cruz Rocha ◽  
Thayna Silva Do Carmo Tavares ◽  
Carlos Alberto Gonçalves Júnior ◽  
Thais Bueñano França Penin

Objective: to carry out a literature review on the treatment of Pattern II for maxillary protrusion and Class II division 1 malocclusion, its different possibilities of approach and to present a case report in two phases. Methods: The BIREME, Google Academic and Pubmed databases were used to obtain articles in English and Portuguese. As search strategy, we have used the terms boolean AND, AND NOT and OR to order the keywords and delimit the object of study. Results: It was found in the literature that two-phase treatment can be performed with the maxillary splint device in the mixed dentition to approach the maxillary protrusion. Then, in the period of young permanent denture, the appliance is self-ligating as a device for refining static and functional occlusion. Conclusion: The approach to Class II malocclusion in Pattern II by maxillary protrusion can be performed in two phases, a fact corroborated by the success of the treatment performed and by the literature evaluated in this study.

2003 ◽  
Vol 14 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Carla Enoki ◽  
Mírian Aiko Nakane Matsumoto ◽  
José Tarcísio Lima Ferreira

Early treatment for Class II malocclusion was undertaken with the objective of correcting skeletal disproportion by altering the growth pattern. A case of Class II, Division 1 malocclusion in the mixed dentition was corrected to Class I molar relationship using orthopedic cervical headgear, with nonextraction edgewise therapy. Cephalometric analysis indicated a reduction in the maxillomandibular discrepancy (ANB) correcting the Class II malocclusion to Class I malocclusion. The treatment showed that this was achieved by downward displacement and inhibition of the forward growth of the maxilla and growth of the mandible. There was no downward rotation of the mandible nor maxillary first molar extrusion. There was improvement in the jaw relationship.


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.


2015 ◽  
Vol 20 (4) ◽  
pp. 99-125 ◽  
Author(s):  
Aristeu Corrêa de Bittencourt Neto ◽  
Armando Yukio Saga ◽  
Ariel Adriano Reyes Pacheco ◽  
Orlando Tanaka

INTRODUCTION: Interceptive treatment of Class II, Division 1 malocclusion is a challenge orthodontists commonly face due to the different growth patterns they come across and the different treatment strategies they have available.OBJECTIVE: To report five cases of interceptive orthodontics performed with the aid of Klammt's elastic open activator (KEOA) to treat Class II, Division 1 malocclusion.METHODS: Treatment comprehends one or two phases; and the use of functional orthopedic appliances, whenever properly recommended, is able to minimize dentoskeletal discrepancies with consequent improvement in facial esthetics during the first stage of mixed dentition. The triad of diagnosis, correct appliance manufacture and patient's compliance is imperative to allow KEOA to contribute to Class II malocclusion treatment.RESULTS: Cases reported herein showed significant improvement in skeletal, dental and profile aspects, as evinced by cephalometric analysis and clinical photographs taken before, during and after interceptive orthodontics.


2005 ◽  
Vol 29 (3) ◽  
pp. 205-210
Author(s):  
N. Al-Sulaiti ◽  
G. White

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.


2021 ◽  
Vol 14 (54) ◽  
pp. 62-72
Author(s):  
Ivan Pedro Taffarel ◽  
Fernando Augusto Casagrande ◽  
Itamar Antonio Taffarel ◽  
Thiago Martins Meira ◽  
Orlando Tanaka

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.


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.


2011 ◽  
Vol 12 (6) ◽  
pp. 497-500 ◽  
Author(s):  
Nandini B Tripathi ◽  
Smita Nimbalkar Patil

ABSTRACT Dentofacial growth interferences, caused by abnormal lip and tongue function in the mixed dentition period are a common clinical condition. The main purpose of the treatment in such cases is to eliminate oral dysfunction, establish muscular balance and correct or diminish maxillary incisor protrusion. The position of the teeth is determined by the lip and tongue pressure. Lip function may have been the cause of forcing teeth in to malposition they occupy. The case report is presented where the myofunctional trainer T4K is used during growth phase. How to cite this article Tripathi NB, Patil SN. Treatment of Class II Division 1 Malocclusion with Myofunctional Trainer System in Early Mixed Dentition Period: J Contemp Dent Pract 2011;12(6):497-500.


2011 ◽  
Vol 1 (1) ◽  
pp. 36-41
Author(s):  
Jyoti Dhakal

The dentoskeletal characteristics of Class II malocclusion subjects were evaluated using cephalometric radiograph and dental cast of 60 untreated patients. The sample included 30 Class II Division 1 and 30 Class II Division 2 malocclusion patients. The inter-canine, inter-premolar, inter-molar, inter-canine alveolar, inter-premolar alveolar, inter-molar alveolar widths are measured on study models. The result showed statistically significant difference between the groups for mandibular inter-canine width only. The cephalometric analysis revealed that SNB angle was responsible for the skeletal sagittal difference between the two groups except for the position of maxillary incisors. No basic difference in dentoskeletal morphology existed between Class II Division 1 and Class II Division 2 malocclusions.


Author(s):  
Shushmitha Ravipudi ◽  
Praveen Mamidi ◽  
Gautam Kumar Annojjula ◽  
Jothirathinam Veerannan ◽  
Haranadha Reddy Medapati

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