Abstract
Angle Class II malocclusion associated with anterior open bite in adult patients demands a carefully elaborated orthodontic planning, aiming at restoring not only harmonious dental and facial esthetics, but also a balanced masticatory function. Orthognathic surgery or permanent teeth extraction are often the choice of treatment, therefore, treatment decision is related to all dental, skeletal and functional aspects. The present report discusses orthodontic compensation carried out by means of upper premolar extraction performed to correct the Class II canine relationship and, consequently, the anterior open bite, accepting that the upper incisors be retroclined. This clinical case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as part of the requirements for obtaining the BBO Certification.
Highlights
A 17.11-year-old female patient came to the clinic reporting difficulty in gripping food with her front teeth and dissatisfaction regarding dental esthetics, concerning her smile
Angle Class II malocclusion treated with extraction of permanent teeth
For the correction of the anterior open bite, the space left after the extractions would allow retroclination to be planned and consequent extrusion of the upper incisors, favoring bite closure.[3,4]
Summary
Angle Class II malocclusion treated with extraction of permanent teeth Gustavo Mattos Barreto[1]. The present report discusses orthodontic compensation carried out by means of upper premolar extraction performed to correct the Class II canine relationship and, the anterior open bite, accepting that the upper incisors be retroclined. This clinical case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as part of the requirements for obtaining the BBO Certification. O presente relato mostra a compensação ortodôntica por meio de extrações de pré-molares superiores, a fim de corrigir a relação de Classe II dos caninos e, consequentemente, a mordida aberta anterior, aceitando que os incisivos superiores estejam retroinclinados.
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