Abstract
Class II malocclusion in pubertal phase presents a major and a common challenge to orthodontists. Proper diagnosis and treatment planning in early stage help in preventing and intercepting the severity of malocclusion. In pubertal phase skeletal Class II malocclusion due to mandibular retrusion are best treated with functional appliance. In recent time PowerScope fixed functional appliance is gaining immense popularity as noncompliant Class II corrector. In the present case report an adolescent male patient having Class II division 1 malocclusion with functional jaw retrusion was treated using MBT 0.022” prescription and PowerScope appliance. 7-8 months of PowerScope wear obtained stable and successful results with improvement in facial profile, skeletal jaw relationship and mild increase in IMPA. It can thus be concluded that PowerScope gives good results in Class II correction with a combination of patient comfort and ease of use that was unmatched among other appliances
Highlights
In recent time, due to slight increase in awareness, there is increase in number of patients seeking orthodontic treatment
Fixed functional appliances like JasperJumper, Herbst, Ritto appliance, Eureka spring, Churrojumper, PowerScope, etc. would be the better choice, if the patient reports after the pubertal growth spurt or during the late stages of puberty, and it reduces the need of patient compliance
As the proverb says “Prevention is better than cure” this is applicable in orthodontics too, as it can help us in reducing the severity of the malocclusion and early correction of the skeletal abnormality
Summary
Due to slight increase in awareness, there is increase in number of patients seeking orthodontic treatment. Skeletal Class II malocclusion with retrognathic mandible is corrected using functional appliance to redirect mandibular growth by forward posturing of the mandible. The later has recently been gaining immense popularity as fixed functional appliance. These appliances are installed to the maxillary and mandibular archwires. This article describes the correction of skeletal Class II malocclusion with retruded mandible in non complaint patient with the use of a PowerScope appliance. The patient had a Class II division 1 malocclusion with an overjet of 14 mm and an overbite of 7 mm, proclination and midline diastema in upper anteriors, crowding in lower anteriors and a pronounced curve of Spee [Figure 2]. Ansari A, Jain AK, Singh A, Sharma P, Adil M : Management of Skeletal Class II Malocclusion in Non-Complaint Patient using Powerscope - A Case Report. Skeletal age of the patient was determined by using CVMI & MP3 methods, which
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