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

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.

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

2014 ◽  
Vol 3 (1) ◽  
pp. 41-45
Author(s):  
Naznin Sultana ◽  
Md Nazmul Hasan ◽  
Gazi Shamim Hassan ◽  
Mir Abu Naim ◽  
Nasrin Akther
Keyword(s):  
Case Report ◽  
Cost Effective ◽  
Class Ii ◽  
Treatment Modalities ◽  
Maxillary Incisor ◽  
Class Ii Malocclusion ◽  
Supernumerary Tooth ◽  
Facial Profile ◽  
Mandibular Plane ◽  
Impacted Canine

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

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 Aesthetic Rehabilitation of Class II Malocclusion through Interdisciplinary Approach: A Case Report

2017 ◽  
Author(s):  
Shushmitha Ravipudi ◽  
Praveen Mamidi ◽  
Gautam Kumar Annojjula ◽  
Jothirathinam Veerannan ◽  
Haranadha Reddy Medapati
Keyword(s):  
Case Report ◽  
Interdisciplinary Approach ◽  
Class Ii ◽  
Class Ii Malocclusion

scholarly journals Class II Division 1 malocclusion treatment using TADs: Case report

2020 ◽  
Vol 67 (3) ◽  
pp. 159-164
Author(s):  
Tina Pajevic ◽  
Jovana Juloski ◽  
Marija Zivkovic
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Dental Arch ◽  
Class Ii Malocclusion ◽  
Posterior Teeth ◽  
Temporary Anchorage Devices ◽  
Division 1 ◽  
Incisor Retraction ◽  
Class Ii Division 1

Introduction. Orthodontic treatment of Class II Division 1 (II/1) malocclusions in adults can be challenging since skeletal effects are limited. Possible treatment options are orthodontic camouflage or orthognatic surgery, in severe cases. The aim of this paper was to present a successful management of Class II malocclusion in an adult patient using temporary anchorage devices (TADs). Case report. After detailed clinical examination, study models and cephalometric analysis, a 26 years old patient was diagnosed with Class II malocclusion, an overjet of 12 mm, congenitally missing tooth 41 and midline shifted to the right in upper dental arch. In prior orthodontic treatment, patient had upper premolars extracted. Posterior teeth in upper left quadrant were shifted mesially. The camouflage treatment was considered, using temporary anchorage devices (TADs) to distalize posterior teeth on the left side, and gain space for incisor retraction and midline correction in upper dental arch. Results. Using TADs as additional anchorage in anterior region and coil spring for molar distalization, the space was made for tooth 23, midline correction and incisor retraction. After 40 months, a satisfactory result was achieved, overjet and midline correction, class I canines occlusion and class II molar occlusion. Conclusion. Class II/1 malocclusion in adults can be successfully treated using TADs. The success depends on the severity of malocclusion and patient cooperation.

scholarly journals Relationship between skeletal Class II and Class III malocclusions with vertical skeletal pattern

2019 ◽  
Vol 24 (4) ◽  
pp. 63-72
Author(s):  
Sonia Patricia Plaza ◽  
Andreina Reimpell ◽  
Jaime Silva ◽  
Diana Montoya
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Multinomial Regression ◽  
Lateral Cephalogram ◽  
Cross Sectional ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Skeletal Pattern

ABSTRACT Objective: The purpose of this study was to establish the association between sagittal and vertical skeletal patterns and assess which cephalometric variables contribute to the possibility of developing skeletal Class II or Class III malocclusion. Methods: Cross-sectional study. The sample included pre-treatment lateral cephalogram radiographs from 548 subjects (325 female, 223 male) aged 18 to 66 years. Sagittal skeletal pattern was established by three different classification parameters (ANB angle, Wits and App-Bpp) and vertical skeletal pattern by SN-Mandibular plane angle. Cephalometric variables were measured using Dolphin software (Imaging and Management Solutions, Chatsworth, Calif, USA) by a previously calibrated operator. The statistical analysis was carried out with Chi-square test, ANOVA/Kruskal-Wallis test, and an ordinal multinomial regression model. Results: Evidence of association (p< 0.05) between sagittal and vertical skeletal patterns was found with a greater proportion of hyperdivergent skeletal pattern in Class II malocclusion using three parameters to assess the vertical pattern, and there was more prevalent hypodivergence in Class III malocclusion, considering ANB and App-Bpp measurements. Subjects with hyperdivergent skeletal pattern (odds ratio [OR]=1.85-3.65), maxillary prognathism (OR=2.67-24.88) and mandibular retrognathism (OR=2.57-22.65) had a significantly (p< 0.05) greater chance of developing skeletal Class II malocclusion. Meanwhile, subjects with maxillary retrognathism (OR=2.76-100.59) and mandibular prognathism (OR=5.92-21.50) had a significantly (p< 0.05) greater chance of developing skeletal Class III malocclusion. Conclusions: A relationship was found between Class II and Class III malocclusion with the vertical skeletal pattern. There is a tendency toward skeletal compensation with both vertical and sagittal malocclusions.

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