scholarly journals Orthodontically Management of Non-extraction Class-II Division 2 Malocclusion- A Case Report

Author(s):  
Hasnat Jahan ◽  
Himadri Shekhar Roy Chowdhury ◽  
Mohammad Emadul Haq ◽  
Md Zakir Hossain

A patient of 21 years old presented with Class II division 2 malocclusion and deep overbite, was treated by fixed orthodontic therapy. After completion of the treatment, extreme deep bite was corrected, proclination of upper anterior teeth and patient was satisfied with new position of his upper anterior teeth. DOI: http://dx.doi.org/10.3329/bjodfo.v2i2.16166 Ban J Orthod & Dentofac Orthop, April 2012; Vol-2, No.2, 46-47

Author(s):  
MH Sattar

This article describes our treatment of Class II, division 2 adult patients requiring premolar extractions. Division 2 cases are often characterized by severe deep bites, lingually inclined upper central and lower incisors, and labially flared maxillary lateral incisors. This patients also tend to exhibit problems with the upper and lower occlusal planes, such as deep curves of Spee, High lip line, marked labiomental depression. Because of the deep bite and supra eruption of the maxillary incisors, the gingival margins of the maxillary anterior teeth are malaligned, and the lingually inclined mandibular incisors have excessively high gingival margins ( Fig. 1 ). The treatment protocol for this patients includes extraction of premolars both upper and lower in right side to relieve crowding, with simultaneous correction of the deep bite by intrusion of the upper and/or lower incisors. Intrusion mechanics are performed with a bite opening bend on a preformed nickel titanium arch wire. Space closure is accomplished with power chain and guard behind the extracted site in anchor plate. Extraction of upper premolar and lower 1st molar (tooth no 36) in left side was done earlier. A 21 years old women with Cl-II Div-II malocclusion type B came to Dental Centre, Dhaka, with chief complaint of an unhappy smile. Retroclined 4 Incisors, Deep bite, Crowding, deficient lower facial height, Gummy smile and a moderately convex hard- and soft-tissue profile because of a retrusive mandible with over jet of 1.5mm and over bite of 6 mm was observed. The mechanics plan should be individualized based on the specific treatment goals. Camouflage Treatment was done with the help of an anchor plate incorporated anterior incline plane. Intrusion mechanics are performed with preformed nickel titanium Connecticut Intrusion Arch (CIA) and anchor plate incorporated bite plane. Treatment was successfully completed with extractions of both pre-molars in right side and left lower 1st molar (Tooth no 36) and upper 1st premolar(Tooth no 24) already extracted ( Fig. 2 A) before starting of orthodontic treatment. Treatment of 20 months which improves incisor inclination, Deep bite correction; eliminate crowding, normal smile line and improvement of gummy smile. With the above mentioned protocol normal inclination of both upper-lower incisor, normal over jet and over bite were also achieved. DOI: http://dx.doi.org/10.3329/bjodfo.v1i2.15987 Ban J Orthod & Dentofac Orthop, April 2011; Vol-1, No.2, 18-24


2013 ◽  
Vol 3 (1) ◽  
pp. 73-75
Author(s):  
Situ L Shrestha ◽  
Supreeth S Manipal ◽  
Bikash V Shrestha ◽  
Alok K Jaiswal

The article presents a case report of a teen age girl with Class II Division 2 malocclusion with deep over bite. The case was treated on non-extraction basis using 0.018 pre-adjusted edgewise appliance with anterior bite plate (monobloc) to correct deep bite and forward placement of the mandible. Use of Class II elastics helped to achieve Class I canine and molar retention. Treatment was completed in 22 months with good occlusion and facial esthetics. DOI: http://dx.doi.org/10.3126/ojn.v3i1.9287 Orthodontic Journal of Nepal, Vol.3, No.1, 2013: 73-75


2017 ◽  
Vol 03 (04) ◽  
Author(s):  
Ramirez Silvia ◽  
Siguencia Valeria ◽  
Garcia Andres ◽  
Bravo Manuel

Author(s):  
Shamima Nargish ◽  
Md Zakir Hossain

We describe the treatment of a girl, age 18 years with Class II div-2 malocclusion with deep bite and crowding. Treatment consisted mainly of bite opening, 1st premolars extractions, canine retraction, arch co-ordination, leveling and alignment with Edgewise fixed appliances by multiloop technique. However the treatment resulted in Class I incisor relation with proper alignment of upper and lower anterior segment, an ideal overjet, overbite and incisor angulations. Ban J Orthod & Dentofac Orthop, April 2016; Vol-6 (1-2), P.29-34


Author(s):  
Hasnat Jahan ◽  
Md Zakir Hossain ◽  
Muklesur Rahman

This case report describes the treatment of a 13 years old girl named FahrialSharmin came to Dhaka Dental College with complaints of moderate maxillary proclination. She had class-II molar and canine relationship and showed 12 mm overjet and 5.5 mm overbite with lip trap.Treatment started with extraction of maxillary first premolars and fixed orthodontic therapy. Treatment were finished in a class-II molar relationship with canine guidance and ideal overjet& overbite relationships were established. The final result was esthetically well balanced.Ban J Orthod & Dentofac Orthop, April 2014; Vol-4 (1-2), P.23-24


2013 ◽  
Vol 18 (4) ◽  
pp. 70-81
Author(s):  
Osama Hasan Alali

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.


2019 ◽  
Vol 9 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Sanjay Prasad Gupta

Anterior spacing is a common esthetic problem of patient during dental consultation. The most common etiology include tooth size and arch length discrepancy. Maxillary lateral incisors vary in form more than any other tooth in the mouth except the third molars. Microdontia is a condition where the teeth are smaller than the normal size. Microdontia of maxillary lateral incisor is called as “peg lateral”, that exhibit converging mesial and distal surfaces of crown forming a cone like shape. A carefully documented diagnosis and treatment plan are essential if the clinician is to apply the most effective approach to address the patient’s needs. A patient sometimes requires a multidisciplinary approach to correct the esthetics and to improve the occlusion. This case report describes the management of an adult female patient with a proclined upper anterior teeth, upper anterior spacing, deep bite and peg shaped upper right lateral incisor tooth through orthodontic and restorative treatment approach.


Prosthesis ◽  
2020 ◽  
Vol 2 (3) ◽  
pp. 196-210
Author(s):  
Paolo Scattarelli ◽  
Paolo Smaniotto ◽  
Serena Leuci ◽  
Gabriele Cervino ◽  
Mario Gisotti

The aesthetic treatment for anterior teeth requires a series of clinical and technical evaluations to obtain a predictable result, following a well-defined operating sequence. Today, the clinical–technical team can use different digital tools in the different steps of the workflow. A preventive assessment, the knowledge of limits, and the possibilities of surgical and prosthetic procedures allow to use these devices. Sharing goals of the treatment with the patient according to their expectations and needs is the key point of the treatment plan. Setting a defined treatment plan avoids invasive procedures. In this clinical case report, a 27-year-old patient affected by Class II div 2 malocclusion with deep bite was treated with a full digital workflow. Previewing the aesthetics was through dedicated software, which shows operators and patients the objectives of the therapy and guides the dental technician in the first phase of the work. The use of digital flows in the prosthetic phases reduces the working time. In this case, it shows the impact of a digital workflow on peri-prosthetic therapy for the aesthetic rehabilitation of the upper central incisors in a young adult.


2014 ◽  
Vol 85 (5) ◽  
pp. 890-896
Author(s):  
Gertjan Mensink ◽  
Peter Gooris ◽  
Florine Mulder ◽  
Christel Gooris-Kuipers ◽  
Richard van Merkesteyn

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.


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