TREATMENT OF SKELETAL CLASS II DIVISION II MALOCCLUSION WITH ACTIVATOR AND FIXED ORTHODONTIC APPLIANCES: A CASE REPORT
Year 2018,
Volume: 4 Issue: 1, 29 - 34, 08.04.2018
Sanaz Sadry
Fatma Bursalı
Nourtzan Kechagıa
Abstract
The aim of this case report; is to present the treatment of a male patient with skeletal Class II, dental Class II division II associated with deep bite by the using of functional appliance through a short period of fixed orthodontic treatment. A 14-year 4-month old male patient applied for treatment in our clinic with a cheef complains of retrognathic mandible. The radiographic and clinical examinations and evaluations showed skeletal class II anomalies. Dental class II division II anomaly with increased over bite had been identified. The orthodontic treatment started with functional appliance as activator. After 8 months mandibular advanced and Class I molar and canine relationship had been achieved. after functional treatment 0.018 slot straight wire Roth brackets applied for both the upper and the lower teeth. After 6 months for both jaws a 0.016 x 0.022 stainless steel wire had been applied. After that the intrusion of the incisive teeth had been achieved by using CIA. In order to achieve a Class I molar and canine relationship, Class II elastics had been used at the end of the treatment. A case with a skeletal class II and Dental class II division II with increased over bite was treated through a 2 years and 8 month of treatment and dental class I relationship with normal overbite and overjet and good occlusion achieved at the end of the treatment.
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Treatment of deep-bite cases. Am J Orthod,
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treatment of severe class II, division
2 malocclusions. Part 1. Am J Orthod
Dentofacial Orthop, 97(6): 510-521.
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DeKock WH. 1981. Longitudinal changes in
standing height and mandibular parameters
between the ages of 8 and 17 years. Am J
Orthod, 80(2): 115-135.
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Gordon J, Levy P, McAlpine J. et al. 1980.
Treatment of deep-bite cases. Am J Orthod,
77(1): 1-13.
[16] Sharma NS. Management of growing
skeletal class II patient: A case report. Int J
Clin Paediatr Dent 2013; 6:48-54.
[17] Dağsuyu ĠM. Sınıf II Bölüm 1
maloklüzyonlu bireylerde fonksiyonel
ortopedik tedavi etkilerinin aksiyografik ve
sefalometrik yöntemlerle incelenmesi. J Dent
Fac Atatürk Uni 2011;21:196-212.
[18] Özel N AA. Sınıf II maloklüzyonların
tedavisinde kullanılan fonksiyonel ortopedik
apareyler. Smyrna Tıp Dergisi 2011:48-52
[19] Nanda R. 2005. Management of
Deep Overbite Malocclusion (chapter 7).
Biomechanics and esthetic strategies in
clinical orthodontics: Elsevier inc.
[20] Tausche E, Luck O, Harzer W. 2004.
Prevalence of malocclusions in the early
mixed dentition and orthodontic treatment
need. Eur J Orthod, 26(3): 237-244.
[21] Burstone CR. 1977. Deep overbite
correction by intrusion. Am J Orthod, 72(1):
1-22.
[22] Kim TW, Kim H, Lee SJ. 2006. Correction
of deep overbite and gummy smile by using
a mini-implant with a segmented wire in a
growing class II division 2 patient. Am J
Orthod Dentofacial Orthop, 130(5): 676-685.
Year 2018,
Volume: 4 Issue: 1, 29 - 34, 08.04.2018
Sanaz Sadry
Fatma Bursalı
Nourtzan Kechagıa
References
- [1] Acar Güngör A. Sınıf II maloklüzyonların
tedavisinde molar distalizasyonu. EÜ Dişhek
Fak Derg 2006;27:97-105.
[2] Ast DB, Alaway M, Darker HL. The
prevalence of malocclusion, related to dental
caries and lost first permanent molars, in a
fluoridated city and a fluoride deficientcity.
Am J Orthod 1962;48:106-13.
[3] Vargervik K, Harvold EP. Response to
activator treatment in class II malocclusions.
Am J Orthod 1985; 88: 242-251.
[4] Arvystas MG. Nonextraction treatment of
severe class II, division 2 malocclusions. Am
J Orthod Dentofacial Orthop 1991; 99: 74-84.
[5] Epker BN, Fish CF. The surgicalorthodontic
correction of mandibular
deficiency. Part I. Am J Orthod 1983; 84:408-21.
[6] Epker BN, Fish CF. The surgicalorthodontic
correction of mandibular
deficiency. Part II. Am J Orthod 1983;84:
491-507.
[7] Harnick DJ. Case report: Class II correction
using a modified Wilson bimetric distalizing
arch and maxillary second molar extraction.
Angle Orthod 1998; 68: 275-280.
[8] Bishara SE. Textbook of orthodontics. 1st Ed.,
Saunders, Philadelphia, USA, 2001, 354-361.
[9] Graber TM, Vanorsdall R, Vig K. 2000.
Orthodontics: Current Principles and
Techniques, Third Edition St. Louis, Toronto,
London: The C.V. Mosby. Comp.
[10] Proffit WR, Fields HW, Ackerman JL,
Bailey LJ, Tulloch JFC. 2000. Contemporary
Orthodontics, Third Edition St. Louis,
Toronto, London: The C.V. Mosby Comp.
[11] Graber T. 1997. Functional Analysis.
Graber T, Petrovic A, (Ed.). Dentofacial
Orthopedics with Functional Appliances,
pages, 125-160. Baltimore, Boston: Mosby-
Year Book, Inc.
[12] Engel G, Cornforth G, Damerell JM,
Gordon J, Levy P, McAlpine J. et al. 1980.
Treatment of deep-bite cases. Am J Orthod,
77(1): 1-13.
[13] Arvystas MG. 1990. Nonextraction
treatment of severe class II, division
2 malocclusions. Part 1. Am J Orthod
Dentofacial Orthop, 97(6): 510-521.
[14] Bishara SE, Jamison JE, Peterson LC,
DeKock WH. 1981. Longitudinal changes in
standing height and mandibular parameters
between the ages of 8 and 17 years. Am J
Orthod, 80(2): 115-135.
[15] Engel G, Cornforth G, Damerell JM,
Gordon J, Levy P, McAlpine J. et al. 1980.
Treatment of deep-bite cases. Am J Orthod,
77(1): 1-13.
[16] Sharma NS. Management of growing
skeletal class II patient: A case report. Int J
Clin Paediatr Dent 2013; 6:48-54.
[17] Dağsuyu ĠM. Sınıf II Bölüm 1
maloklüzyonlu bireylerde fonksiyonel
ortopedik tedavi etkilerinin aksiyografik ve
sefalometrik yöntemlerle incelenmesi. J Dent
Fac Atatürk Uni 2011;21:196-212.
[18] Özel N AA. Sınıf II maloklüzyonların
tedavisinde kullanılan fonksiyonel ortopedik
apareyler. Smyrna Tıp Dergisi 2011:48-52
[19] Nanda R. 2005. Management of
Deep Overbite Malocclusion (chapter 7).
Biomechanics and esthetic strategies in
clinical orthodontics: Elsevier inc.
[20] Tausche E, Luck O, Harzer W. 2004.
Prevalence of malocclusions in the early
mixed dentition and orthodontic treatment
need. Eur J Orthod, 26(3): 237-244.
[21] Burstone CR. 1977. Deep overbite
correction by intrusion. Am J Orthod, 72(1):
1-22.
[22] Kim TW, Kim H, Lee SJ. 2006. Correction
of deep overbite and gummy smile by using
a mini-implant with a segmented wire in a
growing class II division 2 patient. Am J
Orthod Dentofacial Orthop, 130(5): 676-685.