Management of Class II Division I Malocclusion Compound with Orthopedic and Fixed Orthodontics Appliance – A Case Reputation (original) (raw)
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Class II, Division 1 Malocclusion treated with the Andresen Appliance followed by Fixed Orthodontics
World Journal of Dentistry
Introduction: Mandibular retrognathism is the most common feature in class II malocclusions. Functional appliance therapy focuses on reducing the increased overjet and overbite, establishing better conditions for mandible growth response in phase I. Phase II corrects the position of the teeth and gives an adequate stable occlusal relationship. Aim: (1) To describe a class II, division 1 malocclusion treated with the Andresen activator in a growing patient followed by comprehensive orthodontic fixed appliances, and (2) to take advantage of both approaches performed immediately one after the other in adolescence to obtain better and stable results without tiring the patient and parents, prolonging the treatment time. Case report: A 13-year-old female patient presented with a class II, division 1 malocclusion with increased overjet and deep overbite, due to mandibular retrognathism. She wore the Andresen activator approximately 12 to 14 hours per day during afternoons and nights for 9 months, followed immediately by comprehensive fixed appliances for an extra period of 1 year. Conclusion: Clinical results showed that class II, division 1 malocclusion was corrected, overjet and deep overbite were reduced to normal parameters, and convex profile was improved to a straight one. Clinical significance: These two phases performed one after the other in the early permanent dentition were beneficial for the patient, and due to good results obtained in phase I, phase II with fixed appliances was simplified, focusing on small details of dental movements. The total time of treatment was 21 months.
Orthopedic and orthodontic interceptive treatment of a class III malocclusion. A case report
Class III malocclusion is caused by a maxillary deficiency, overgrowth of the jaw or a combination of both. The opportune treatment of a class III malocclusion may remove the option of an orthognathic surgery or in more severe cases reduce the surgery complications. Maxillary protraction and expansion are often used for orthopedic treatment and orthodontic apparatus for detailing and finishing in early stages of growth in patients. Case Report: Male patient of 9 years and 8 months of age without personal pathological or allergic data, concave profile, brachyfacial biotype, horizontal growth, skeletal class III with mandibular prognathism, anterior and posterior crossbite.
Therapeutic approach to Class II, Division 1 malocclusion with maxillary functional orthopedics
Dental Press Journal of Orthodontics, 2015
INTRODUCTION: Interceptive treatment of Class II, Division 1 malocclusion is a challenge orthodontists commonly face due to the different growth patterns they come across and the different treatment strategies they have available.OBJECTIVE: To report five cases of interceptive orthodontics performed with the aid of Klammt's elastic open activator (KEOA) to treat Class II, Division 1 malocclusion.METHODS: Treatment comprehends one or two phases; and the use of functional orthopedic appliances, whenever properly recommended, is able to minimize dentoskeletal discrepancies with consequent improvement in facial esthetics during the first stage of mixed dentition. The triad of diagnosis, correct appliance manufacture and patient's compliance is imperative to allow KEOA to contribute to Class II malocclusion treatment.RESULTS: Cases reported herein showed significant improvement in skeletal, dental and profile aspects, as evinced by cephalometric analysis and clinical photographs ...
Treatment of Class II Malocclusion With Removable Functional Appliances: A Narrative Review
European Journal of General Dentistry
Around half of all malocclusions that need orthodontic treatment are Class II in nature. Patients with Class II malocclusion primarily seek treatment for aesthetic improvement. Most of the skeletal class II malocclusions are because of mandibular deficiency, and can be best treated during the growing phase of development by removable functional appliances. The objective of this review is to evaluate and compare skeletal and dentoalveolar effects of various removable functional appliances in the treatment of class II malocclusion. Manual and electronic databases were searched, and out of 5,711 articles, 221 abstracts were shortlisted and reviewed. A total of 19 articles that fulfilled the selection criteria was then retrieved and analyzed. A significant increase in mandibular length and dentoalveolar effects with an increase in vertical dimension in a short time was observed with Twin-Block appliance treatment, followed by Bionator appliance treatment. The long-term stability of resu...
Eastern Journal of Medicine, 2020
Treatment of skeletal Class II malocclusions is difficult anomalies in orthodontics. The treatment of skeletal Class II anomalies varies according to the jaw and the growth period of the anomalies. Adult individuals whose growth is over are treated with fixed orthodontic mechanics or orthognathic surgical approaches. If skeletal class II anomaly is not severe and does not constitute a problem aesthetically, camouflage treatment can be done with fixed orthodontic mechanics. This case report presents the results of orthodontic camouflage treatment and treatment applied to a skeletal Class II malocclusion female patient with chronological age of 18 years and skeletally in the Ru period. The molar relationship of the patient with a slightly convex profile is Angle Class II. In cephalometric examination, skeletal class II problem was detected (ANBº = 6º). At the end of the treatment, angle class II relation in the molar region, angle class I relation in the canine region and a smooth soft tissue profile were obtained.
Management of Class II Division 1 Malocclusion Using Fixed Functional Appliances: A Case Series
Journal of Indian Orthodontic Society, 2018
Class II division 1 malocclusion is the most commonly occurring problem, mainly characterized by mandibular retrusion. Treatment modality aims to stimulate sagittal mandibular growth. Various appliances are available including removable and fixed functional. Fixed functional appliances (FFAs) are used as they have better patient compliance with similar effects. The present case series discuss the use of four different FFAs in late mixed dentition period during circumpubertal growth. The effects seen are similar to other appliances even though a lot of variations are seen with respect to the total treatment time.
Treatment of Skeletal Class II Malocclusion Using a Fixed Functional Appliance
Journal of Contemporary Dentistry, 2013
Treatment of class II malocclusion has always been an enigma to the orthodontic fraternity. Noncompliant correction of class II malocclusion using fixed functional appliances at the deceleration stage of growth has gained tremendous popularity in the recent times. Aim of the illustrated article is to demonstrate the efficacy of a fixed functional appliance in correction of class II malocclusion. We are reporting a 12-year-old female patient with a skeletal class II malocclusion treated using the Forsus appliance. Forsus FRD was the best option considering age, patient comfort, ease of installation, predictable results and patient compliance. The appliance was worn for 5 months after the initial alignment with fixed mechanotherapy (MBT 0.022"). The mandible was brought forward to a class I skeletal and dental relationship by the end of this phase of treatment. How to cite this article Shah SS, Karandikar GR, Sonawane MS, Kulkarni VS, Burad HJ. Treatment of Skeletal Class II Malo...
2020
Purpose : This article discusses a case reports of skeletal class III malocclusions treated with fixed orthodontic appliances and orthognathic surgery. Methods : Female patients aged 16 with complaints of crossbite in the anterior region and facial aesthetics. The objective examination showed ectostem teeth at 13, peg shaped teeth at 12, agenesi at 22 and diastema in teeth 34-35. The mandible looks forward. Results : Orthodontic treatment with fixed orthodontic appliances to straighten teeth in the dental arch then orthognathic surgery was performed to correct advanced of mandibular jaw. Conclusions : Maximum results are obtained by interdisciplinary treatment between orthodontist and oral surgeon.