Combined orthodontic and surgical correction of adult skeletal class II with hyperdivergent jaws

Abraham, Jiku; Bagchi, Paulami; Gupta, Swati; Gupta, Hemant; Autar, Ram

doi:10.4103/0975-5950.102167

Cited by 9 publications

(3 citation statements)

References 2 publications

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“…The p patient has reported a better self-esteem and satisfaction with the dramatic skeletal, dental, and occlusal improvement. Abraham et al (2012) [ 16 ] in a similar clinical study emphasized the importance of collaboration of orthodontist, maxillofacial surgeon, and other disciplines to determine the success of orthosurgical outcome beforehand.…”

Section: Discussionmentioning

confidence: 99%

Orthodontic Treatment Timing and Modalities in Anterior Open Bite: Case Series Study

Hamadi

Saleh

Kaddouha³

2017

TODENTJ

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Objective:The purpose of this study was to present early and adult cases of anterior open bite that were treated efficiently using different treatment approaches and mechanics.Materials and Methods:Five patients of different age groups (from 7 to 27 years), suffering from a clear Anterior open bite deformity, were properly diagnosed and relevant treatment modality for each was selected.Results:Positive overbite was efficiently achieved for all patients.Conclusion:Patient compliance is a key factor in using removable habit breakers. However, fixed palatal crib gave the same results but in shorter time. Anterior open bite of skeletal components should be thoroughly evaluated before selecting camouflage or orthognathic surgery treatment modality.

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Section: Discussionmentioning

confidence: 99%

Orthodontic Treatment Timing and Modalities in Anterior Open Bite: Case Series Study

Hamadi

Saleh

Kaddouha³

2017

TODENTJ

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“…The results obtained by surgical management of such cases usually ensure a better esthetic, functional stability [1]. The goal of orthognathic surgery is basically to achieve harmony between functional stability and esthetic enhancement [3,6,7] which thereby fulfils patients need. So here in this study we have evaluated result of 10 patients of skeletal class II deformity treated surgically and their outcomes we have discussed.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Skeletal Class II Deformity Patients- a Case Series

Mehta¹,

Desai²,

Patel³

et al. 2020

IJCOMS

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Class II malocclusions constitute a high percentage of ortho-surgically treated cases. Approximately 70% of the patients have associated skeletal discrepancy characterized by an exaggerated sagittal distance between the maxilla and the mandible, which could result in maxillary prognathism, mandibular retrognathism, or both (2) Class II malocclusion can be treated by a combination of maxillary and mandibular surgeries, maxillary surgery alone or by mandible surgery solely depending on the underlying skeletal discrepancy i.e Maxillary Le Fort I superior repositioning with autorotation of mandible, Bi-jaw surgery-bilateral sagittal split osteotomy (BSSO) along with maxillary Le Fort I impaction., Genioplasty-advancement of chin. Material and methods: 10 cases of Skeletal Class -II malocclusion were selected randomly irrespective of age, sex, caste, religion, etiology and socioeconomic status, good general health without any systemic disease. Study was conducted in the Department of Oral and Maxillofacial Surgery, Karnavati School of Dentistry, Uvarsad. Conclusion: 14 According to the outcomes of the cases it provided a reliable esthetic and functional enhancement of the patient when maxilla was superiorly positioned, with mandibular advancement, genioplasty for retruded chin according to the treatment planned for each patient.

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“… 2 Skeletal Class II malocclusion with a very high mandibular plane angle is one of the most complex and difficult malocclusions to treat with nonsurgical orthodontic treatment alone, because it is often caused by clockwise rotation of the mandible or excessive vertical growth in the buccal segments. 3 The fundamental and most effective treatment method for such a skeletal discrepancy, including the retrognathic mandible, is surgical relocation of the jaw bone. 4 However, several patients and their families do not readily accept such invasive surgical methods because of the possible risks and high cost.…”

Section: Introductionmentioning

confidence: 99%

Nonsurgical correction of a severe anterior deep overbite accompanied by a gummy smile and posterior scissor bite using a miniscrew-assisted straight-wire technique in an adult high-angle case

et al. 2016

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In the present report, we describe the successful use of miniscrews to achieve vertical control in combination with the conventional sliding MBT™ straight-wire technique for the treatment of a 26-year-old Chinese woman with a very high mandibular plane angle, deep overbite, retrognathic mandible with backward rotation, prognathic maxilla, and gummy smile. The patient exhibited skeletal Class II malocclusion. Orthodontic miniscrews were placed in the maxillary anterior and posterior segments to provide rigid anchorage and vertical control through intrusion of the incisors and molars. Intrusion and torque control of the maxillary incisors relieved the deep overbite and corrected the gummy smile, while intrusion of the maxillary molars aided in counterclockwise rotation of the mandibular plane, which consequently resulted in an improved facial profile. After 3.5 years of retention, we observed a stable, well-aligned dentition with ideal intercuspation and more harmonious facial contours. Thus, we were able to achieve a satisfactory occlusion, a significantly improved facial profile, and an attractive smile for this patient. The findings from this case suggest that nonsurgical correction using miniscrew anchorage is an effective approach for camouflage treatment of high-angle cases with skeletal Class II malocclusion.

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Combined orthodontic and surgical correction of adult skeletal class II with hyperdivergent jaws

Cited by 9 publications

References 2 publications

Orthodontic Treatment Timing and Modalities in Anterior Open Bite: Case Series Study

Orthodontic Treatment Timing and Modalities in Anterior Open Bite: Case Series Study

Surgical Management of Skeletal Class II Deformity Patients- a Case Series

Nonsurgical correction of a severe anterior deep overbite accompanied by a gummy smile and posterior scissor bite using a miniscrew-assisted straight-wire technique in an adult high-angle case

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