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Correction of Angle Class II division 1 malocclusion with a mandibular protraction appliances and multiloop edgewise archwire technique

Korean Journal of Orthodontics 2014³â 44±Ç 5È£ p.268 ~ 277
Freitas Benedito, Freitas Heloiza, Santos Pedro Cesar F dos, Janson Guilherme,
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 ( Freitas Benedito ) - Federal University of Maranhao School of Dentistry Discipline of Orthodontics
 ( Freitas Heloiza ) - Private practice
 ( Santos Pedro Cesar F dos ) - Federal University of Ceara School of Dentistry Discipline of Orthodontics
 ( Janson Guilherme ) - University of Sao Paulo Bauru Dental School Department of Orthodontics

Abstract


A Brazilian girl aged 14 years and 9 months presented with a chief complaint of protrusive teeth. She had a convex facial profile, extreme overjet, deep bite, lack of passive lip seal, acute nasolabial angle, and retrognathic mandible. Intraorally, she showed maxillary diastemas, slight mandibular incisor crowding, a small maxillary arch, 13-mm overjet, and 4-mm overbite. After the diagnosis of severe Angle Class II division 1 malocclusion, a mandibular protraction appliance was placed to correct the Class II relationships and multiloop edgewise archwires were used for finishing. Follow-up examinations revealed an improved facial profile, normal overjet and overbite, and good intercuspation. The patient was satisfied with her occlusion, smile, and facial appearance. The excellent results suggest that orthodontic camouflage by using a mandibular protraction appliance in combination with the multiloop edgewise archwire technique is an effective option for correcting Class II malocclusions in patients who refuse orthognathic surgery.

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Class II malocclusion; Mandibular advancement; Orthodontic treatment

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SCI(E)
KCI
KoreaMed