Orthodontic camouflage management of a class II malocclusion with excessive overjet- A case report

In orthodontic practice various treatment modalities have been presented for the treatment for the class II, div 1malocclusions. Recently a large number of young adults have been seeking shorter, cost effective and a non surgical correction of Class II malocclusions and they accept dental camouflage as a treatment option to mask the skeletal discrepancy .This case report presents one such case, a 15years old growing male who has Class II div I malocclusion with sever maxillary incisor proclination, convex profile ,high mandibular plane angle, incompetent lips, increased overjet& overbite, over retained upper left deciduous canine ,impacted upper left canine and a supernumerary tooth in canine region. We considered the camouflage treatment by extracting the upper right first premolar, left impacted canine, deciduous canine and supernumerary tooth. Following the treatment, a satisfactory result was achieved with an ideal, static and a functional occlusion, facial profile, acceptable smile, competent lip and stable treatment results. DOI: http://dx.doi.org/10.3329/updcj.v3i1.17984 Update Dent. Coll. j: 2013; 3 (1): 41-45

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Orthodontic Camouflage Treatment of Class II Malocclusion in Non-growing Patient - A Case Report

Orthodontic Journal of Nepal ◽

10.3126/ojn.v5i1.14501 ◽

2015 ◽

Vol 5 (1) ◽

pp. 46-49 ◽

Cited By ~ 1

Author(s):

Lubna Khan ◽

Hemant Kumar Halwai ◽

Rajiv Yadav ◽

Ourvind Jeet Singh Birring

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Asian Population ◽

Class Ii ◽

Adult Patients ◽

Treatment Modalities ◽

Class Ii Malocclusion ◽

Facial Profile ◽

Skeletal Class ◽

Skeletal Class Ii

The prevalence of skeletal Class II malocclusion is high amongst Asian population. Various treatment modalities have been presented for the treatment of Class II malocclusions in adult patients. We come across many adult patients who desire a costeffective and non-surgical correction and they accept dental camouflage as a treatment option to mask skeletal discrepancy. This case report presents a 26-year-old non-growing female who had a skeletal Class II malocclusion with prognathic maxilla and retrognathic mandible with an overjet of 7 mm, severe crowding, but did not want surgical treatment. We considered the camouflage treatment by extracting upper first premolars. Following the treatment, a satisfactory result was achieved with an acceptable static and functional occlusion, facial profile, smile and lip competence with patient satisfaction.

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Gummy smile and facial profile correction using miniscrew anchorage

The Angle Orthodontist ◽

10.2319/020711-86.1 ◽

2011 ◽

Vol 82 (1) ◽

pp. 170-177 ◽

Cited By ~ 20

Author(s):

Masato Kaku ◽

Shunichi Kojima ◽

Hiromi Sumi ◽

Hiroyuki Koseki ◽

Sara Abedini ◽

...

Keyword(s):

Case Report ◽

Surgical Therapy ◽

Class Ii ◽

Class Ii Malocclusion ◽

Facial Profile ◽

Retention Period ◽

Skeletal Class ◽

Skeletal Class Ii ◽

Profile Correction ◽

Gummy Smile

Abstract This case report describes the treatment of a case involving a skeletal Class II facial profile with a gummy smile. While treating a facial profile and a gummy smile, the outcome may not always be successful with orthodontic therapy alone. For this reason, surgical therapy is often chosen to gain an esthetic facial profile and a good smile. However, sometimes the patients reject surgical treatment and an alternative method must be considered. Skeletal anchorage systems such as miniscrews are now frequently used for correcting severe malocclusion that should be treated by surgical therapy. In this case report, we treated a skeletal Class II malocclusion with a convex profile and a gummy smile using miniscrews, which were placed in the upper posterior and anterior areas. The active treatment period was 3.5 years, and the patient's teeth continued to be stable after a retention period of 36 months.

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Accelerated Tooth Movement with Orthodontic Mini-Screws

Case Reports in Dentistry ◽

10.1155/2017/2327591 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

S. Aksakalli ◽

A. Balaban ◽

K. Nazaroglu ◽

E. Saglam

Keyword(s):

Case Report ◽

Male Patient ◽

Tooth Movement ◽

Root Resorption ◽

Treatment Time ◽

Class Ii ◽

Maxillary Incisor ◽

Class Ii Malocclusion ◽

Periodontal Health ◽

Canine Distalization

This case report outlines the possibility of accelerated tooth movement with the combination of microosteoperforation and mini-screws. A 14-year-old male patient presented Class II malocclusion with maxillary incisor protrusion. Upper first premolars were extracted, and after leveling, accelerated canine distalization started. For pre- and postdistalization times, amount of distalization, periodontal health, and root resorption were assessed. Within the limitations of this case report, micro-osteoperforations with mini-screw have a potential for shortening the treatment time.

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Orthodontic treatment of an impacted dilacerated maxillary incisor: A case report

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.30.2.n4uk8x7g8t42k38k ◽

2006 ◽

Vol 30 (2) ◽

pp. 93-98 ◽

Cited By ~ 7

Author(s):

Paola Cozza ◽

Alessandra Marino ◽

Roberta Condo

Keyword(s):

Case Report ◽

Young Patient ◽

Orthodontic Treatment ◽

Class Ii ◽

Permanent Tooth ◽

Maxillary Incisor ◽

Class Ii Malocclusion ◽

Post Traumatic

Dilaceration is one of the causes of permanent maxillary incisor eruption failure. It is a developmental distortion of the form of a tooth that commonly occurs in permanent incisors as result of trauma to the primary predecessors whose apices lie close to the permanent tooth germ.We present a case of post-traumatic impaction of a dilacerated central maxillary left incisor in a young patient with a class II malocclusion.

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Combined orthodontic and surgical treatment of impacted maxillary canine in young patient with class II malocclusion: A case report

SCRIPTA MEDICA ◽

10.5937/scriptamed51-28407 ◽

2020 ◽

Vol 51 (3) ◽

pp. 209-214

Author(s):

Ljubica Pašagić ◽

Ivana Ilić ◽

Vesna Kecman ◽

Marko Bulajić ◽

Nina Zubović ◽

...

Keyword(s):

Case Report ◽

Functional Results ◽

Class Ii ◽

Class Ii Malocclusion ◽

Maxillary Canine ◽

Lateral Cephalogram ◽

Adequate Treatment ◽

Impacted Canine ◽

Molar Teeth ◽

Transpalatal Arch

The impaction of maxillary canines is one of the biggest challenges in orthodontics practice. This case report describes successful surgical and orthodontic approach to the treatment of palatally impacted maxillary canine in a 14-year-old boy. Intraoral clinical examination revealed an absence of the upper right canine, an ectopic position of the upper left canine and crowding in the maxillary arch. The impaction of right maxillary canine and class II malocclusion were confirmed by lateral cephalogram, orthopantomogram and cone beam computed tomography. In the first phase, a transpalatal arch to the upper first molar teeth was applied, first premolars were extracted, and brackets were placed on all teeth and nickel-titanium arch wire was applied. The initial orthodontic phase was soon thereafter followed by the surgical exposure and orthodontic traction of the impacted canine using ligature wire attached from the button with chain to the open coil on the arch wire. The orthodontic treatment took two years with satisfactory aesthetic and functional results at the end. This clinical case has shown that adequate treatment of impacted maxillary canine can be achieved by using combined surgical technique and appropriate orthodontic approach.

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ISW for the Treatment of Adult Skeletal Class II Case with Temporary Anchorage Device

10.47363/jdsr/2021(3)115 ◽

2021 ◽

pp. 1-6

Author(s):

Huang Chun-Yi ◽

◽

Yu Jian-Hong ◽

Lin Chih-Chieh ◽

◽

...

Keyword(s):

Case Report ◽

Class Ii ◽

Class Ii Malocclusion ◽

Invasive Treatment ◽

Anterior Crowding ◽

Skeletal Class ◽

Anterior Teeth ◽

Skeletal Class Ii ◽

Mandibular Plane ◽

Temporary Anchorage Device

Patients with a Class II malocclusion, proclination, severe crowding of the maxillary and mandibular anterior teeth, and high mandibular plane angles are a treatment-planning challenge. This case report describes an orthodontic treatment and maxillary premolar extraction without orthognathic surgery for a 18-year old man. Maximum anchorage is needed for upper anterior retraction by using Temporary Anchorage Device (TAD’s). The use of IME and ISW unilateral MEAW was important to relieve upper and lower anterior crowding. After treatment, the patient had a better profile, adequate overjet and overbite. This case report demonstrates that a minimally invasive treatment can successfully correct a severe skeletal Class II malocclusion with large overjet.

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A Comparison of Craniofacial Characteristics between Two Different Adult Populations with Class II Malocclusion—A Cross-Sectional Retrospective Study

Biology ◽

10.3390/biology10050438 ◽

2021 ◽

Vol 10 (5) ◽

pp. 438

Author(s):

Arvind Sivakumar ◽

Prasad Nalabothu ◽

Huyen Nguyen Thanh ◽

Gregory S. Antonarakis

Keyword(s):

Growth Pattern ◽

Class Ii ◽

Class Ii Malocclusion ◽

South Indian Population ◽

The South ◽

Facial Height ◽

South Indian ◽

Mandibular Plane ◽

Lateral Cephalograms ◽

Craniofacial Characteristics

The dental, skeletal, and soft-tissue characteristics of a particular malocclusion can differ based on ethnicity, race, age, sex and geographical location with Class II malocclusion being one of the most prevalent malocclusions encountered in orthodontic clinical practice. The broad understanding of the characteristics of vertical skeletal and dental parameters in patients with Class II malocclusion can help clinicians to identify patterns and variations in the expression of this phenotype for better treatment outcomes. Hence, we compared the craniofacial characteristics of skeletal and dental Class II malocclusion traits from Indian and Vietnamese individuals to analyze the vertical skeletal and dental patterns in both population groups. The sample comprised of lateral cephalograms from 100 young adults with Class II malocclusion, of which fifty (25 males and 25 females) were from South India and the other 50 age- and sex-matched adults from Vietnam. The lateral cephalometric radiographs were digitized into anonymous image files and were traced and assessed for 16 vertical skeletal and dental parameters. The ANB angle was greater in males (+1.4 deg; p < 0.001) and females (+1.9 deg; p < 0.001) in the South Indian population. The Vietnamese males had a larger mandibular plane angle, articular angle, anterior facial height and lower anterior facial height compared to the Indian males. The Vietnamese females had larger mandibular plane and articular angles compared to the Indian females. The skeletal class II malocclusion was more severe in the South Indian compared to the Vietnamese adults. The Vietnamese sample showed a generalized tendency towards a more vertical skeletal growth pattern and in males this pattern seemed to be due to the dentoalveolar component. The Vietnamese females showed a tendency towards a vertical growth pattern, but without apparent contribution by the dentoalveolar component.

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