Management of Class II Division I malocclusion by Camouflage Orthodontic Treatment

-

   Diagnosis:

    A female patient came with the chief complain of forwardly placed upper front teeth. The extraoral examination reveals mesoprosopic faceform, mesoocephalic headform, convex profile, incompetent lips, acute nasolabial angle. The intraoral examination shows Class II molar relation, Class II canine relation with spacing in upper & lower anterior teeth. Diagnosis is Angle's Class II Division I malocclusion with anterior spacing.

Treatment Objectives: 
  • To correct proclination of upper anterior teeth
  • To achieve ideal overjet and overbite
  • To close spacing in upper & lower anterior teeth
  • To improve profile
  • To correct nasolabial angle
  • To correct smile
Treatment Plan: 
  • Extraction irt 14,24
  • Leveling and alignment 
  • Space Closure
  • Finishing and detailing in Class II molar relation

Treatment Progress:

    The orthodontic treatment is started with banding and bonding in upper and lower arches with standard 0.022 inch MBT preadjusted edgewise appliance.  The initial leveling and alignment process is started. The sequential change of arch wires were 0.016 nickel‑titanium (NiTi), 0.017 x 0.025 NiTi, 0.019 x 0.025 NiTi, 0.019 x 0.025 SS. After the leveling & alignment is completed, extraction of both the upper first premolars are done. Then retraction is started on 0.019 x 0.025 SS wire by sliding mechanics. Elastomeric chain is changed every six weeks. After space closure, finishing is done on 0.019 x 0.025 braided SS wire by settling elastics. The overall treatment duration is approximate 1.5 year. After removal of orthodontic appliance, lingual fixed retainer and removable essix retainer are given.






Treatment Results: 

    The post treatment photographs showed Class I canine and Class II molar relation, ideal overjet and overbite, average nasolabial angle, competent lips, well coordinated arches. The profile is also improved. The pleasing smile is obtained with proper interdigitation of occlusion. 

Comments

Post a Comment

Popular posts from this blog

Orthodontic treatment of Class I malocclusion with highly placed canines, severe crowding, rotations in upper anterior - 10

-
Image
    Diagnosis:     A female patient came with the chief complain of irregularly placed upper and lower front teeth. The extraoral examination reveals mesoprosopic faceform, mesoocephalic headform, straight profile, competent lips, average nasolabial angle. The intraoral examination shows Class I molar relation, Class I canine relation  with severe crowding in upper & lower anterior teeth, highly placed upper canines, overretained teeth in upper right & left 2nd deciduous molar, severe rotations present in upper central incisors. Diagnosis is Angle's Class I malocclusion with highly placed canines & severe crowding. Treatment Objectives:  To correct crowding in upper & lower anterior teeth To level & align highly placed canines To correct rotations of upper central incisors To achieve ideal overjet and overbite To correct smile Treatment Plan:  Extraction irt 55,65  Leveling and alignment  Inter-proximal reduction  Fin...
Read more

The Inner Lives of Doctors - Doctors are humans too.

-
Image
Doctors are also human being. Doctors attribute to their profession behind closed doors. As patients, we are so overwhelmed with our own problems. We fail to notice that our doctor may be battling her own problems with a complicated system. They are stuck in a systemic mess. Patients bargaining and don’t pay up regularly. Medico Legal threats. Costs are rising in every things day by day but when doctors rise treatment costs, they have to give justification so much. Life-and-death ethical dilemmas. Burnout. Loss of value in society. Doctors are nudged and hassled in a system from which there’s no way out. Yet, they are held to one of the highest performing standards of any profession. It’s tough being a doctor today. They are not making as much money as you think. Unlike most high-end professionals, doctors begin making money after age of 35. Even after investing time, money, knowledge so much, they have waiting period so long to set ourselves. After finishing studies also they have to ...
Read more

What is the right age of Orthodontic Treatment?

-
Image
The answer is: it depends!  There are several factors that should taken into consideration before making a decision to start orthodontic treatment.  But before we get into that, there are three important things you should know: 1. Permanent teeth start growing around 6 years of age The first permanent teeth to grow are the first molars which grow behind the very last milk molar tooth. Central incisors (front teeth) are the first teeth to replace the milk teeth. 2. It takes around 5-6 years to complete the transition from milk teeth to permanent teeth Most children get their full set of permanent teeth around age 12-13 years. 3. A child's age is not always an accurate indicator of dental development This means that some children develop and grow their teeth quickly while others do not. There are a variety of causes for delayed dental development and in most cases they are not given an importance and concern as long as permanent teeth grow eventually. Every child should be seen...
Read more