scholarly journals TADs assisted Camouflage Orthodontic Treatment of Class II Division 1 Malocclusion in a Non Growing Patient: A case report

2018 ◽  
Vol 8 (2) ◽  
pp. 55-59
Author(s):  
Ankita Gupta ◽  
Trilok Shrivastava
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Maxillary Incisor ◽  
Mandibular Incisor ◽  
Anterior Crowding ◽  
Skeletal Class ◽  
Curve Of Spee ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

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.

scholarly journals Successful orthodontic treatment of Class II division 1 malocclusion in a non growing patient : A case report

2013 ◽  
Vol 2 (2) ◽  
pp. 41-45
Author(s):  
MW Ali ◽  
MZ Hossain
Keyword(s):  
Stainless Steel ◽  
Case Report ◽  
Class Ii ◽  
Maxillary Incisor ◽  
Skeletal Class ◽  
Canine Retraction ◽  
Anterior Teeth ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

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

scholarly journals Fixed Lingual Mandibular Growth Modificator: a new appliance for Class II correction

2013 ◽  
Vol 18 (4) ◽  
pp. 70-81
Author(s):  
Osama Hasan Alali
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Deep Bite ◽  
Mandibular Growth ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

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.

scholarly journals Indian Board of Orthodontics Case Report: Management of Skeletal Class II Division 1 Malocclusion With Single-Phase Fixed Orthodontic Treatment Along With Forsus FRD Fixed Functional Appliance

2021 ◽  
Vol 55 (2) ◽  
pp. 202-208
Author(s):  
Ashish Garg
Keyword(s):  
Case Report ◽  
Single Phase ◽  
Critical Appraisal ◽  
Class Ii ◽  
Functional Appliance ◽  
Skeletal Class ◽  
Fixed Functional Appliance ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

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.

scholarly journals Long Term Stability of Skeletal Class II Treatment with Modified Bionator Followed by Fixed Appliance - A Case Report

2021 ◽  
Vol 10 (22) ◽  
pp. 1726-1731
Author(s):  
Harshil Naresh Joshi ◽  
Jay Soni ◽  
Santosh Kumar Goje ◽  
Arth Patel ◽  
Shireen Mann ◽  
...  
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Growth Patterns ◽  
Growth Potential ◽  
Human Populations ◽  
Skeletal Class ◽  
Class Ii Treatment ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

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.

scholarly journals Orthodontic treatment of Skeletal Class II Division 1 Malocclusion: A case report

2013 ◽  
Vol 2 (1) ◽  
pp. 24-28
Author(s):  
MW Ali ◽  
MZ Hossain ◽  
M Zaki
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Skeletal Class ◽  
Dental Research ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

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

scholarly journals Mini implant orthodontic sebagai penjangkaran pada perawatan maloklusi kelas II skeletal dengan protrusi beratMini implant orthodontic as an anchorage in skeletal class II maloclussion with severe dental protrusion

2021 ◽  
Vol 33 (1) ◽  
pp. 71
Author(s):  
Maureen Antolis ◽  
Haru Setyo Anggani
Keyword(s):  
Case Report ◽  
Treatment Time ◽  
Treatment Plan ◽  
Class Ii ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Total Treatment Time ◽  
Soft Tissue Profile ◽  
Division 1 ◽  
Class Ii Division 1

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

scholarly journals Alveolar and symphysis regions of patients with skeletal class II division 1 anomalies with different vertical growth patterns

2012 ◽  
Vol 06 (02) ◽  
pp. 123-132 ◽  
Author(s):  
Elcin Esenlik ◽  
Fidan Alakus Sabuncuoglu
Keyword(s):  
Normal Subjects ◽  
Class Ii ◽  
Growth Patterns ◽  
Control Group ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Main Factor ◽  
Class Ii Division 1

ABSTRACTObjectives: The aim of this study was to investigate the alveolar and symphysis region properties in hyper-, hypo-, and normodivergent Class II division 1 anomaliesMethods: Pretreatment lateral cephalograms of 111 young adult female patients with skeletal Class II division 1 anomalies were compared to those of 54 Class I normal subjects (control group). Class II cases were divided into hyperdivergent (n = 58), hypodivergent (n = 19), and normodivergent groups (n = 34). The heights and widths of the symphysis and alveolus and the depth of maxillary palate were measured on the lateral cephalogramsResults: Mean symphysis width was wider in the hypodivergent Class II group than in the other groups, while mean symphysis height was similar among all groups. Maxillary palatal depth, upper incisor angle, upper and lower molar alveolar heights, and Id–Id′ width were also similar among groupsConclusion: Symphysis width is the main factor in the differential diagnosis of Class II division 1 anomaly rather than symphysis height and hypodivergent Class II Division 1 anomaly is more suitable for mandibular incisors movements. (Eur J Dent 2012;6:123-132)

Nonsurgical treatment of an adult with a skeletal Class II Division 1 malocclusion and a severe overjet

2012 ◽  
Vol 142 (1) ◽  
pp. 95-105 ◽  
Author(s):  
Morris H. Wechsler ◽  
Bradley Lands ◽  
Chantal Gauthier ◽  
Cedric Cardona
Keyword(s):  
Class Ii ◽  
Nonsurgical Treatment ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
Class Ii Division 1

scholarly journals Full Mouth Reconstruction of a Skeletal Class II Division 1 Patient with Adenoid Cystic Carcinoma Using an Interim Immediate Obturator and a Definitive Obturator

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Mehran Bahrami ◽  
Seyed Mehran Falahchai
Keyword(s):  
Adenoid Cystic Carcinoma ◽  
Anterior Segment ◽  
Class Ii ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Adenoid Cystic ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
The Right ◽  
Class Ii Division 1

A 61-year-old female patient with adenoid cystic carcinoma (ACC) of the right maxilla and Angle class II division 1 malocclusion had received a subtotal maxillectomy in right side and used a conventional clasp-retained obturator. After implants placement, a maxillary interim immediate obturator (IIO) and then a definitive obturator using six endosseous implants were fabricated. During one-year follow-up, the patient was completely satisfied. Ideally, after implants placement in edentulous patients suffering from hemimaxillectomy, an implant-supported obturator (ISO) is designed in order to prevent nasal reflux and to improve speech and swallowing. However, in the following case, because of skeletal class II division 1 malocclusion and implants insertion in the premaxilla, using an ISO was impossible because it would cause excessive upper lip protrusion and lack of anterior teeth contact. Therefore, a five-unit implant-supported fixed partial denture (FPD) was fabricated in the maxillary anterior segment so that anterior teeth contacts were possible and the patient’s normal lip support was achieved. A bar and three ball attachments were used in the maxillary posterior segment. A closed-hollow-bulb ISO was preferred. Conventional ISO in these patients results in several problems. Using a maxillary anterior FPD along with ISO caused satisfactory results in the current patient.

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