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
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.
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
Background: Optimal management of hypodivergent growing patients demands a strict control of vertical dimension and to exploit the growth potential. If a deep bite malocclusion causes a traumatic contact between the upper and lower incisors and affects the facial appearance, an early interceptive treatment is recommended. The aim of this case report is to outline the clinical management of the occlusal plane of a growing Class II division 1 deep bite patient treated with aligners and Class II elastics. Methods: The treatment lasted 11 months and was divided into two phases. Treatment goals included improvement of the soft tissue profile and basal bone relationships through an increase in the mandibular third of the face and a sagittal advancement of the mandible. The correction of the curve of Spee involved intrusion of the mandibular incisors and extrusion of the mandibular premolars. Results: The cephalometric analysis at the end of the treatment displayed significant differences in the skeletal and occlusal pattern along with aesthetic improvements. Conclusion: The final cephalogram showed a consistency between the planned tooth movement and the clinical results. Although definitive recommendations must be withheld until longer follow-up is available, the patient presented here shows that the treatment protocol yielded positive mandibular growth.
Abstract
Aims and Objectives: Deep bite is one of the common malocclusion which has a varied of etiologies; this case report includes correction of deep bite with help of anterior bite plane. Materials and Methods: One post pubertal patient of age 15 years with proclined maxillary incisors with class II skeletal and class II molar treated with fixed orthodontic appliance with anterior bite plane. Results: It resulted in favorable skeletal and dentoalveolar changes. Midlines were coinciding, molars were in class I relationship and smile was improved. Conclusion: Using anterior bite plane corrected class II deep bite in patient, corrected lip trap and proclined maxillary incisors.
Background: Class II division 1 malocclusion characterized by mandibularretrognation, deep bite and increasement of overjet. Myofunctional appliance could modify the growth and developmental of mandibular at appropriate phase. The purpose of this case report was to present successful management of Class II division 1 by using bionator and removable appliance.Case Management: A 9 years old girl with upper teeth protrusion, crowding and affected the esthetical perception. The diagnosis was Class II division 1 with mandibular retrognation and upper incisor protrusion, upper and lower anterior crowding and palatal bite. Patient also had lip biting and thumb sucking habit. Bionator leads the mandibular moved forward and arch widening. Treatment planning were to reduce overjet by prognating mandibular and bad habit elimination. Followed by retracting the upper teeth and deep bite correction by using removable appliance.Conclusion: Patient profile became corrected in 10 weeks. Overjet reduced in by prognating the mandible, decreasing of palatal bite, molar relation become Class I and bad habit elimination. In 10 months, overjet and overbite were corrected.
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
Skeletal class II has always been a challenge in orthodontics and often needs assistance of surgical orthodontics in nongrowing patients when it presents with severe discrepancy. Difficulty increases more when vertical dysplasia is also associated with sagittal discrepancy. The advent of mini implants in orthodontics has broadened the spectrum of camouflage treatment. This case report presents a 16-year-old nongrowing girl with severe class II because of retrognathic mandible, and anterior dentoalveolar protrusion sagittally and vertically resulted in severe overjet of 13 mm and excessive display of incisors and gums. Both maxillary central incisors were trimmed by general practitioner few years back to reduce visibility. Treatment involved use of micro implant for retraction and intrusion of anterior maxillary dentoalveolar segment while lower incisors were proclined to obtain normal overjet, and overbite and pleasing soft tissue profile. Smile esthetics was further improved with composite restoration of incisal edges of both central incisors.
Upper anterior intrusion with mini-implants to correct anterior deep bite in a periodontally compromised class II malocclusion. Case report
