Correction of a Class II Occlusion in an Adult

Abstract

Introduction: Mandibular advancement and vertical correction with extrusion are two basic procedures that permit the skilled orthodontist to re-posture the mandible in Class II deep-bite occlusion with a disto-positioned mandible. Aim: To verify the entity and the possibility of mandibular advancement in a non growing deep-bite patient while improving vertical dimension. Methods: The diagnostic procedure is based on the use of (TENS) (Trans-cutaneous Electrical Nerve Stimulator) with application of the basic principles as described with the Neuromuscular Theory and technique. Treatment of a Class II occlusion on an adult patient without the use of mandibular tracking devices and without the aid of electromyography is described. Results: Mandibular advancement and increase in vertical dimension were achieved. Flaring of lower incisors and head extension improved overall aesthetics. Conclusions: The use of TENS is a valid diagnostic aid for predicting mandibular advancement in the adult patient.

Why I love Orthodontics

“…That myth about occlusion has been translated to a paradigm with continuous discoveries and its application in treatment protocols. I have been able to reduce relapse (every orthodontist has relapse cases, just in case you smiled) and find new therapeutic strategies [8][9][10]. I have had a chance to work with doctors around the world that are part of a growing neuromuscular community, who have stimulated me and with whom I share and confront my opinions and results.…”