scholarly journals Orthodontic management of skeletal class II malocclusion with horizontally impacted maxillary canine: A case report

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Sanjay Prasad Gupta ◽  
Dr. Shristi Rauniyar
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Functional Appliance ◽  
Maxillary Canine ◽  
Twin Block ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Skeletal Class Ii

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

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
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Ease Of Use ◽  
Patient Comfort ◽  
Adolescent Male ◽  
Class Ii Malocclusion ◽  
Functional Appliance ◽  
Skeletal Class ◽  
Fixed Functional Appliance ◽  
Skeletal Class Ii

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

scholarly journals Management of severe Class II malocclusion with sequential modified twin block and fixed orthodontic appliances

2016 ◽  
Vol 6 ◽  
pp. 113-118
Author(s):  
Sonal Chowdhary
Keyword(s):  
Class Ii ◽  
Mandibular Advancement ◽  
Orthodontic Appliances ◽  
Class Ii Malocclusion ◽  
Functional Appliance ◽  
Deep Bite ◽  
Twin Block ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Fixed Orthodontic Appliances

Functional appliance is an effective way of treating skeletal Class II malocclusion in children and adolescents. A 12 months stepwise mandibular advancement protocol with Herbst appliance has been proved to enhance condylar growth and improve mandibular prognathism. The present case report documents a 12-year-old boy presenting with Angle’s Class II, division 1 malocclusion associated with excessive overjet (11 mm), 100% deep bite, and retrognathic mandible. He was treated by a phase I growth modification therapy using twin block appliance with lip pads in a stepwise mandibular advancement protocol followed by a phase II preadjusted Edgewise appliance therapy.

scholarly journals Biomechanical and Clinical Considerations in correcting Skeletal Class II Malocclusion with ForsusTM

2012 ◽  
Vol 13 (6) ◽  
pp. 918-924 ◽  
Author(s):  
P Sudhakar ◽  
Sunil Arora ◽  
Amit Maheshwari ◽  
D Praveen Kumar Varma ◽  
Sai Prakash Adusumilli ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Time ◽  
Clinical Manifestations ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Skeletal Class Ii ◽  
Patient Cooperation ◽  
Clinical Considerations

ABSTRACT Aim The present case report describes the importance of understanding of biomechanical and clinical considerations in application of Forsus appliance in correction of class II skeletal malocclusion. Background Angle's class II malocclusion is one of the most prevailing that may be either skeletal or dental presenting with different clinical manifestations. There are number of appliances to treat such a malocclusion in a growing child. Fixed functional appliances are indicated for class II corrections in patients who report late with minimal residual growth left. Case description A case of class II skeletal and dental malocclusion treated with preadjusted edgewise appliance supplemented with Forsus Fatigue Resistant Device (FRD) (3M Unitek Corp, California, USA) is reported. Conclusion Forsus device is an effective alternative in treating moderate skeletal class II malocclusion. The Forsus FRD (3M Unitek Corp, California, USA) can be used instead of class II elastics in mild cases and in place of Herbst appliance in severe cases. Alteration of force vector by modifying the archwire as shown in this case report while applying Forsus and incorporation of 10 degree labial root torque in lower archwire will minimize the effects on dentition. Engaging modules or tubing on to the pushrod and leaving 1 to 2 mm clearance between distal end of the upper tube and L-pin as shown in this case report will significantly improve the patient compliance. Clinical significance Much emphasis should be given to biomechanical considerations which were discussed in this article while treating patients with Forsus to prevent the unwanted effects. Clinical considerations and certain modifications advised in this case report should be utilized while treating class II skeletal malocclusions with Forsus appliance to eliminate the patient cooperation factor and make treatment time estimates much more accurate. How to cite this article Adusumilli SP, Sudhakar P, Mummidi B, Varma DPK, Arora S, Radhika A, Maheshwari A. Biomechanical and Clinical Considerations in correcting Skeletal Class II Malocclusion with ForsusTM. J Contemp Dent Pract 2012; 13(6):918-924.

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

2015 ◽  
Vol 5 (1) ◽  
pp. 46-49 ◽  
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.

scholarly journals Gummy smile and facial profile correction using miniscrew anchorage

2011 ◽  
Vol 82 (1) ◽  
pp. 170-177 ◽  
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.

scholarly journals Skeletal Class II Malocclusion Treatment with Combined Twin Block and Lip Bumper Appliances: A Case Report

2021 ◽  
Vol 16 (Supp. 1) ◽  
pp. 87-94
Author(s):  
Hilda Fitria Lubis ◽  
Nurhayati Harahap ◽  
Ananda Permata Sari
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Condylar Cartilage ◽  
Lower Lip ◽  
Mandibular Growth ◽  
Twin Block ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Skeletal Class Ii ◽  
Lip Bumper

Functional appliances have been used over a century in clinical orthodontic treatments for skeletal Class II malocclusion patients. Its popularity is attributed to its high patient adaptability and ability to produce rapid treatment changes. The twin block and lip bumper can be combined depending on the patient’s cases. The purpose of therapy with twin block is effective in mandibular growth deficiencies to induce supplementary lengthening of mandibular by stimulating increased growth at the condylar cartilage. The patient was a ten-year-old male patient with skeletal Class II malocclusion. He had a convex facial profile, SNA (sella, nasion, A point) angle of 77.5°, SNB (sella, nasion, B point) angle of 73.0°, ANB (A point, nasion, B point) angle of 4.5°, overjet of 6.5 mm, overbite of 11/41 = 5.0 mm, 21/31 = 4.5 mm, abnormal upper labial frenulum, crossbite in the second left premolar of maxilla, crowded anterior teeth of mandibular, deficiency of mandibular growth, lower lip sucking habit, anterior teeth of maxilla with diastema and proclination. Orthodontic treatment for patient is a combination of twin block and lip bumper appliances. After seven months, frenectomy is used to eliminate and correct the spacing in the frenulum. After 10 months, the patient’s skeletal and profile had improved to skeletal Class I malocclusion, SNA angle of 78.0°, SNB angle of 75.0°, ANB angle of 3.0°, overbite and overjet of 4.0 mm, and the lower lip sucking habit had stopped. Twin block and lip bumper appliances are particularly good alternative treatment in managing selected cases of skeletal Class II malocclusion.

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