Non-surgical management of a young adult with Class II Skeletal Base and vertical maxillary excess using Mini Implants

Abstract

Class II skeletal dysplasias have always been a challenge in orthodontics and often require surgical management in adjunct to Orthodontics in non growing patients when presented with a severe discrepancy. Difficulty increases more when the patient also has a vertical dysplasia in congruence with a sagittal discrepancy. The advent of mini implants in orthodontics has expanded the envelope of camouflage treatment. This case report presents a female patient with a skeletal Class II base attributable to retrognathic mandible and an orthognathic maxilla showing Vertical Maxillary excess, treated non-extraction with absolute intrusion of maxillary arch using Infra zygomatic crestal (IZC) bone screws bilaterally in the posterior and two inter radicular implants in the anterior region. Keywords: Absolute intrusion, Infra Zygomatic Crestal implants, Mini implants