scholarly journals Management of Skeletal Class II Malocclusion in Non-Complaint Patient using Powerscope - A Case Report

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

2013 ◽  
Vol 3 (3) ◽  
pp. 153-158
Author(s):  
Manish Suresh Sonawane ◽  
Girish Ramchandra Karandikar ◽  
Shaili Sanjay Shah ◽  
Vinayak Shridharrao Kulkarni ◽  
Hitesh Jagadish Burad

ABSTRACT Treatment of class II malocclusion has always been an enigma to the orthodontic fraternity. Noncompliant correction of class II malocclusion using fixed functional appliances at the deceleration stage of growth has gained tremendous popularity in the recent times. Aim of the illustrated article is to demonstrate the efficacy of a fixed functional appliance in correction of class II malocclusion. We are reporting a 12-year-old female patient with a skeletal class II malocclusion treated using the Forsus appliance. Forsus FRD was the best option considering age, patient comfort, ease of installation, predictable results and patient compliance. The appliance was worn for 5 months after the initial alignment with fixed mechanotherapy (MBT 0.022"). The mandible was brought forward to a class I skeletal and dental relationship by the end of this phase of treatment. How to cite this article Shah SS, Karandikar GR, Sonawane MS, Kulkarni VS, Burad HJ. Treatment of Skeletal Class II Malocclusion Using a Fixed Functional Appliance. J Contemp Dent 2013;3(3):153-158.


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.


2021 ◽  
Vol 55 (2) ◽  
pp. 202-208
Author(s):  
Ashish Garg

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.


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

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 ◽  
...  

Author(s):  
Prajwal Shetty ◽  
Mukul Shetty ◽  
Maitreyi Chalapati ◽  
Chaitra Kori ◽  
Crystal Runa Soans ◽  
...  

Abstract Introduction The purpose of this study was to evaluate and compare the skeletal, dentoalveolar and soft-tissue effects of 2 fixed functional appliance; Forsus Fatigue Resistance Device (FFRD) and PowerScope appliance in treating patients with skeletal class II division 1 malocclusion. Materials and Methods This comparative prospective two-group study included 20 patients with a mean age of 11.2 ± 1.6 years with skeletal class II malocclusion with retrognathic mandible. One group was treated with FFRD, and second group was treated with PowerScope appliance. Lateral cephalograms were evaluated at T1 (pre-functional appliance treatment)) and at T2 (postappliance treatment). Cephalometric values were calculated and assessed to evaluate skeletal, dentoalveolar and soft-tissue changes. Results Sagittal correction of class II malocclusion appeared to be mainly achieved by dentoalveolar changes in the PowerScope group. The FFRD was able to induce both skeletal and dentoalveolar changes. A favorable influence on facial convexity was achieved by both groups. A significant increase in upper pharynx and lower pharynx dimension was seen in the PowerScope group. A statistically significant decrease in upper lip protrusion, increase in lower lip protrusion, increased nasolabial angle, and decrease in inferior labial sulcus were noted in both the groups. Lower incisors proclined more in the PowerScope group. Conclusion Both appliances were effective in correcting class II malocclusion. Forsus had more skeletal effects on the mandible, whereas PowerScope had less skeletal effects on the mandible and more dentoalveolar effects, contributing to class II correction. Both groups showed a significant improvement in soft-tissue profile. PowerScope group showed a significant increase in airway dimensions


2021 ◽  
Vol 10 (34) ◽  
pp. 2951-2953
Author(s):  
Namrata Dogra ◽  
Archana Jaglan ◽  
Sidhu M. S. ◽  
Seema Grover ◽  
Suman Suman

Treatment of complex malocclusion poses a challenge for the orthodontist because of its multifactorial aetiology. Class II malocclusion is the most frequently encountered and treated malocclusion in orthodontic practice and affects approximately 14.6 % of the North Indian population.1 A common reason for Class II malocclusion is mandibular skeletal retrusion which is the most common characteristic, as reported by McNamara.2 This can be caused by genetic or hereditary factors. When evaluating treatment options for Class II patients, the extent of the skeletal discrepancy and the skeletal maturity of the patient needs to be considered. Treatment may range from dental compensation including camouflage with extractions to surgical procedures targeted at moving the jaw at fault. In growing patients, growth modification with functional appliances offers an intermediate treatment option. Functional appliances are basically of two types; Removable and Fixed. Removable functional appliances such as Activator, Bionator, Frankel Function regulator and Twin Block appliance change Class II relationship by the transmission of soft tissue tension to the dentition. Treatment success with these appliances relies heavily on patient compliance. Therefore, in non-compliant patients, fixed Class II correctors in conjunction with fixed orthodontic appliances are the best choice.3 Fixed functional appliances generate continuous stimuli for mandibular growth without break and permit better adaptation to functions like mastication, swallowing, speech and respiration.1 The Herbst fixed functional appliance has been used routinely for Class II patients and has undergone many design variations over time.4 The AdvanSync2 Class II corrector is a recently introduced fixed functional appliance. It has a much smaller size than the conventional Herbst appliances, is easier to place, activate and remove and most importantly, can be used in conjunction with full-arch fixed appliances throughout.3 Here we describe a case report of a patient treated with the AdvanSync2 Class II corrector and the findings observed in the sagittal and vertical dimensions


2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Sanjay Prasad Gupta ◽  
Dr. Shristi Rauniyar

Management of skeletal class II relation in growing patient require careful evaluation of growth status, proper diagnosis and treatment plan to address the patient’s need. Twin block is the appliance of choice among functional appliance to correct the skeletal class II malocclusion due to it’s acceptability by the patient and simplified design. Maxillary canine impaction is the second most prevalent impaction after the third molars. Treatment of maxillary canine impaction is usually a challenge to orthodontic approach as the defect lies in the esthetic region of the jaw. This case report describes the orthodontic management of a 9 years male patient having skeletal Class II malocclusion with horizontally impacted maxillary canine. Some modifications in the treatment mechanics are deemed essential to address the patient’s need for achieving the optimal esthetic and to improve the occlusion. Twin block is beneficial for the treatment of skeletal malocclusion in a growing patient to achieve the maximum benefit. The orientation of impacted teeth may change from horizontal to favorable one, hence it should be considered a viable treatment alternative. In such case, early diagnosis and interception at the right time along with radiographic follow-ups are necessary to achieve successful results. Keywords: Canine Impaction, Class II malocclusion, Growth modification, Twin block appliance


2018 ◽  
Vol 8 (1) ◽  
pp. 63-67
Author(s):  
Luv Agarwal ◽  
Kamlesh Singh ◽  
Ragni Tandon

Correction of skeletal Class II malocclusion has become a major challenge for orthodontists. Class II jaw discrepancies characterized by mandibular deficiency are treated with fixed functional appliances when there is no active growth present. This case report illustrates the application of PowerScope in 16 years young adolescent male having skeletal Class II Div 2 with mandibular deficiency who was reported with forwardly and irregularly placed upper front teeth with closed bite. The case was treated initially with MBT 0.022” prescription followed by PowerScope. Successful results were obtained with a substantial improvement in facial profile, skeletal jaw relationship and overall aesthetic appearance. PowerScope produced a significant forward movement of mandible which obliterated the need of extractions


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