scholarly journals Treatment of Skeletal Class II in a Growing Patient Using Two-phase Treatment

2018 ◽  
Vol 52 (1) ◽  
pp. 66-78
Author(s):  
Praveen Kumar Neela
Keyword(s):  
Class Ii ◽  
Two Phase ◽  
Skeletal Class ◽  
Skeletal Class Ii

scholarly journals Effect of Class II functional treatment on facial attractiveness, as perceived by professionals and laypeople

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Federica Santori ◽  
Francesco Masedu ◽  
Domenico Ciavarella ◽  
Edoardo Staderini ◽  
Claudio Chimenti ◽  
...  
Keyword(s):  
Facial Attractiveness ◽  
Class Ii ◽  
Aesthetic Perception ◽  
Functional Appliance ◽  
Online Questionnaire ◽  
Two Phase ◽  
Skeletal Class ◽  
Black And White ◽  
Skeletal Class Ii ◽  
Before And After

AbstractThe literature offers different perspectives for and against two-phase treatment of skeletal Class II malocclusion. Facial attractiveness is an important aspect to take into account, given that children with skeletal Class II are often bullied by their peers and have low self-esteem and a lower social perception. The aim of the present study was to evaluate the aesthetic perception of facial profiles by a large number of observers, before and after treatment with a functional appliance, compared to untreated controls. The pre- and post-treatment cephalograms of 20 Class II subjects treated with Sander’s bite-jumping appliance and 20 untreated historical controls were collected and transformed into black and white silhouettes depicting only the lower third of the face. An online questionnaire comprising the silhouettes of the two groups, three “calibration” profiles and an “ideal” profile was submitted to dentists, orthodontists, undergraduates and laypeople, asking them to rate the profile’s attractiveness using a Visual Analogue Scale (VAS). The effect of treatment, and observers’ age, expertise and gender were analysed. The calibration images and the ideal profiles were used to evaluate the coherence of each observer’s judgement. The protocol was approved by the local Ethics Committee. Nine-hundred and ten questionnaires were collected. Treated subjects showed a larger improvement of facial attractiveness compared to controls. A significant effect of gender on the observer’s ratings was observed. Some observers showed incoherent judgement, which had a significant effect on the regression model. In conclusion, early treatment with functional appliances seems to improve patients’ facial aesthetics. This improvement is perceived equally by dental professionals and laypeople.

scholarly journals Two-Phase Treatment of a Growing Patient with a Skeletal Class II

2013 ◽  
Vol 3 (1) ◽  
pp. 40-43
Author(s):  
Shashank Sharad Gaikwad ◽  
Manish Suresh Sonawane ◽  
Girish Ramchandra Karandikar ◽  
Priyanka Anil Pawar ◽  
Shaili Sanjay Shah
Keyword(s):  
Class Ii ◽  
Two Phase ◽  
Lower Lip ◽  
Fixed Appliance ◽  
Twin Block ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Space Closure ◽  
Skeletal Change ◽  
Functional Appliances

ABSTRACT Functional appliances have been used for many years in the treatment of class II malocclusions. They redirect the growth of mandible bringing about a skeletal change in a growing patient. In case of any remaining dental discrepancy, a fixed appliance is obligatory. This patient was an 11-year-old growing female with a convex profile, receding chin, lower lip trap, class II skeletal and dental relationship, a large overjet and overbite and a high maxillary labial frenum attachment. Treatment started with the Twin-block appliance with an expansion screw to achieve transverse correction, promote growth of the mandible and improve her profile. This was followed by fixed appliance mechanotherapy to align and level the dentition, close spaces and retract the maxillary anteriors. Frenectomy was carried out after space closure. How to cite this article Sonawane MS, Karandikar GR, Gaikwad SS, Pawar PA, Shah SS. Two-Phase Treatment of a Growing Patient with a Skeletal Class II. J Contemp Dent 2013;3(1):40-43.

Classe II, divisão 1 – da dentição mista à permanente com aparelho ortopédico funcional e fixo

2021 ◽  
Vol 14 (54) ◽  
pp. 62-72
Author(s):  
Ivan Pedro Taffarel ◽  
Fernando Augusto Casagrande ◽  
Itamar Antonio Taffarel ◽  
Thiago Martins Meira ◽  
Orlando Tanaka
Keyword(s):  
Orthodontic Treatment ◽  
Functional Results ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Maxillary Expansion ◽  
Two Phase ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
The Face

Orthodontic treatment of Class II, division 1 malocclusion in one or two phases is still controversial in contemporary Orthodontics. The present clinical case presents the orthodontic treatment of a 6-year-old patient with aesthetic complaint regarding the smile and bullying, presenting skeletal Class II, Class II malocclusion, Angle division 1, overjet with exaggerated protrusion of the maxillary incisors, exaggerated overbite with the lower incisors touching the palatal mucosa, absence of lip sealing and concave inferior face profile. In Phase I, rapid maxillary expansion was performed with Hyrax-type expander together with the Herbst fixed functional orthopedic device for 11 months. In Phase II, the fixed orthodontic appliance associated with intermaxillary elastics was used for 13 months. The two-phase treatment of Class II malocclusion, division 1 showed to be effective after 24 months, establishing adequate occlusal and functional results and improving the aesthetics of the lower third of the face.

scholarly journals Two Phase Therapy for Class II Division 1 Malocclusion - A Case Report

2017 ◽  
Vol 07 (03) ◽  
pp. 058-062
Author(s):  
Suraj Prasad Sinha ◽  
Akhil Shetty ◽  
M. S. Ravi ◽  
U.S. Krishna Nayak
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Mandibular Advancement ◽  
Second Phase ◽  
Two Phase ◽  
Twin Block ◽  
Skeletal Class ◽  
Good Function ◽  
Skeletal Class Ii ◽  
Division 1

AbstractA 13 year old growing male reported with a complaint of forwardly placed upper front teeth. The case was diagnosed to be Skeletal Class II due to retrognathic mandible. Since the patient was in the growing phase, two phase treatment was planned. The First phase comprised of mandibular advancement using TWIN BLOCK. The final finishing and detailing was achieved in the Second phase of treatment using 0.022 MBT Prescription (self-legating) to produce well-aligned arches in good function and aesthetics.

Multidisciplinary Approach for an Adult Patient with Skeletal Class II, Multiple Teeth Missing and Constricted Maxilla

2020 ◽  
Vol 10 (3) ◽  
pp. 205-217
Author(s):  
Seung-Weon Lim ◽  
Ha-Yeon Park ◽  
Won-Young Park ◽  
Min-Hee Oh ◽  
Kyung-Min Lee ◽  
...  
Keyword(s):  
Adult Patient ◽  
Multidisciplinary Approach ◽  
Class Ii ◽  
Skeletal Class ◽  
Skeletal Class Ii

Uso de propulsor mandibular fixo Flex Developer como recurso no tratamento da Classe II em paciente não colaborador

2020 ◽  
Vol 13 (52) ◽  
pp. 40-51
Author(s):  
Renato Barcellos Rédua
Keyword(s):  
Upper Airway ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Advantages And Disadvantages ◽  
Skeletal Class Ii ◽  
High Incidence ◽  
Therapeutic Alternatives ◽  
Smile Aesthetics ◽  
Treatment Alternatives

Class II malocclusion has a high incidence in the population, which may compromise smile aesthetics, occlusion function and stability. Skeletal Class II may affect facial aesthetics and upper airway volume. Class II malocclusion is routinely associated with skeletal Class II condition, having as treatment alternatives the use of Extra Buccal Appliance (EBA) or removable or fixed propulsor appliance. This article describes a case of a patient who did not accept the use of EBA and so it was fitted a Flex Developer propulsor for Class II correction and discussed the advantages and disadvantages of therapeutic alternatives for Class II correction.

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