Treatment of Class II malocclusion with a customized lingual appliance combined with a Class II corrector

Correcting a complete Class II malocclusion in an adult patient can be quite difficult. If the patient has a large skeletal discrepancy, orthognathic surgery is the treatment of choice. However, if the discrepancy is small or if the situation is borderline and the mandibular incisors are retroclined...

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Bibliographic Details
Published in:American journal of orthodontics and dentofacial orthopedics 2022-03, Vol.161 (3), p.457-470
Main Authors: Moro, Alexandre, Morais, Nathaly Dias, Bueno, Mike R, Almeida Stresser, Karen Cristiane, Deliberador, Tatiana Miranda, Janson, Guilherme
Format: Article
Language:English
Subjects:
Adult
Cephalometry
Dentistry
Female
Humans
Malocclusion, Angle Class II - diagnostic imaging
Malocclusion, Angle Class II - therapy
Mandible - surgery
Maxilla
Orthodontic Appliance Design
Orthodontic Appliances
Overbite - therapy
Young Adult
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Summary:Correcting a complete Class II malocclusion in an adult patient can be quite difficult. If the patient has a large skeletal discrepancy, orthognathic surgery is the treatment of choice. However, if the discrepancy is small or if the situation is borderline and the mandibular incisors are retroclined, Class II correctors can be used. This clinical report presents the orthodontic treatment of a 24-year-old woman with Class II malocclusion. Clinically, her maxilla was slightly protruded, and the mandible was well-positioned. She had uprighted maxillary and mandibular anterior teeth and a deepbite, and she opted for a more esthetically appealing orthodontic appliance. The treatment plan included leveling and alignment of the teeth in both arches, Class II correction, establishing Class I molar and canine relationships, correction of overbite and overjet, adjustment of midlines, and improvement of facial and dental esthetics. Orthodontic treatment consisted of customized lingual appliances combined with a Class II fixed corrector.
ISSN:0889-5406
1097-6752
DOI:10.1016/j.ajodo.2020.11.041