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Treatment of a high angle class II malocclusion with severe crowding and enlarged adenoids: a case report
Madhur Upadhyay1, K Nagaraj, Sumit Yadav
1Department of Craniofacial Sciences, University of Connecticut, Health Center, Farmington, Connecticut, USA. madhurup@yahoo.com
Aim:
The aim is to present the treatment of an 11-year-old, hyperdivergent, Class II division I, female patient with a history of enlarged adenoids and severe arch length discrepancies.
Methods:
The malocclusion was treated by upper right molar distalisation and first premolar extractions. Accurate diagnosis, meticulous treatment planning and an unexpectedly favourable growth pattern lead to a highly satisfactory outcome.
Results:
There was a significant improvement in facial profile, overjet and occlusion. A significant decrease in the mandibular plane angle was recorded, without the use of any extra-oral appliance.
Conclusion:
The treatment results remained stable after six years of retention following maintenance of the favourable growth pattern.
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