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Related Experiment Videos

Class II, division 1, case with multiple treatment challenges

S L Cureton1, L M Polk

  • 1Orthodontic Department, Fort Benning, GA, USA.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|February 11, 1999
PubMed
Summary
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Treatment of a Class II Division 1 malocclusion with a severe unilateral lingual crossbite with combined orthodontic/orthognathic surgery.

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Extraction of maxillary first bicuspids and mandibular lateral incisors, combined with orthognathic surgery to correct a severe class II skeletal malocclusion.

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This case report details managing complex dental anomalies in a young woman, including severe malocclusion and missing teeth. Strategic extraction and precise treatment achieved excellent oral function and facial aesthetics.

Area of Science:

  • Dentistry
  • Orthodontics
  • Oral Surgery

Background:

  • A 23-year-old woman presented with a skeletal Class II Division 1 malocclusion and anterior open bite.
  • Complex dental anomalies included a dilacerated maxillary central incisor, transposed maxillary lateral incisor and canine, impacted maxillary canine, and a congenitally missing mandibular second premolar.

Observation:

  • The patient exhibited significant malocclusion and multiple developmental dental abnormalities.
  • Treatment planning required careful consideration of the impacted and transposed teeth, root dilaceration, and missing tooth.

Findings:

  • Selective extractions were performed as part of the orthodontic treatment.
  • Meticulous attention to detail during treatment was crucial for managing the complex anomalies.

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Implications:

  • The case demonstrates that comprehensive orthodontic and surgical management can overcome severe dental anomalies.
  • Successful treatment resulted in outstanding occlusal function and improved facial aesthetics.
  • This approach highlights the importance of individualized treatment for complex malocclusions.