Abstract
In orthodontic practice various treatment modalities have been presented for the treatment for the class II, div 1malocclusions. Recently a large number of young adults have been seeking shorter, cost effective and a non surgical correction of Class II malocclusions and they accept dental camouflage as a treatment option to mask the skeletal discrepancy .This case report presents one such case, a 15years old growing male who has Class II div I malocclusion with sever maxillary incisor proclination, convex profile ,high mandibular plane angle, incompetent lips, increased overjet& overbite, over retained upper left deciduous canine ,impacted upper left canine and a supernumerary tooth in canine region. We considered the camouflage treatment by extracting the upper right first premolar, left impacted canine, deciduous canine and supernumerary tooth. Following the treatment, a satisfactory result was achieved with an ideal, static and a functional occlusion, facial profile, acceptable smile, competent lip and stable treatment results. DOI: http://dx.doi.org/10.3329/updcj.v3i1.17984 Update Dent. Coll. j: 2013; 3 (1): 41-45
Highlights
Introductions: class- II molar relation and class II canine and Malocclusion compromises the health of the oral incisor relations, proclined maxillary incisors tissues and it can lead to psychological and and an increased overjet and it generally has a social problems.[1]
Patient generally has convex profile & incompetent lip.4This case report illustrates an adolescent male patient with angles Class II div 1malocclusion treated with extraction of upper right the first premolar and upper left impacted canine, upper left deciduous canine and supernumerary tooth
Treatment goal was set with an objective to improve overall hard tissue and soft tissue profile with improvement of facial aesthetics which included correction of proclined upper incisors, competent lips, flat occlusal plane, correction of midline and functional occlusion with proper intercuspation of teeth with class II molar relation and class I canine relation.The treatment plan included Extraction of the maxillary right first premolar, upper left
Summary
Treatment goal was set with an objective to improve overall hard tissue and soft tissue profile with improvement of facial aesthetics which included correction of proclined upper incisors, competent lips, flat occlusal plane, correction of midline and functional occlusion with proper intercuspation of teeth with class II molar relation and class I canine relation.The treatment plan included Extraction of the maxillary right first premolar, upper left. After 24 months (from the time of placing full appliances) all teeth were aligned, the extraction space was closed and midline discrepancy corrected. After satisfactory interdigitation was achieved, following which the case was debonded and a fixed upper and lower lingual bonded retainer was given. The overall result of the orthodontic treatment canine and supernumerary tooth, Alignment and was good as the arches were well aligned. Spee, Closing the extraction space by canine were established and midline was corrected. Extraction of upper right 1st premolar, left impacted canine and supernumerary tooth was done. A compressed coil spring was applied to retract upper right canine with 0.016’’ stainless steel archwire over 5 months. Anterior retraction was done with 0.017’’x 0.025’’ stainless steel archwire over 5months
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