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https://doi.org/10.5937/sejodr8-27254

Management of Class II Division 1 Subdivision malocclusion using unilateral bicuspid extractions and fixed functional appliance: A Two Year Follow-Up

Sarvraj S Kohli
Virinder Singh Kohli
Gagan Deep Kochar


Puni tekst: engleski pdf 1.015 Kb

str. 12-19

preuzimanja: 131

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Sažetak

Introduction: Management of Class II Subdivision cases pose a clinical dilemma and require a careful diagnosis to ascertain the source of asymmetry. Various treatment modalities involving: different protocols of tooth extractions; molar distalization; fixed functional appliances, or orthognathic surgery have been proposed for the same.Case presentation: This article reports a unique approach for management of a severe skeletal Class II with Angle’s Class II Division 1 subdivision malocclusion using unilateral bicuspid extractions in mandibular and maxillary arches and a fixed functional appliance.Results: A 13 year 1-month-old male in CVMI transition stage was successfully treated. Extraction of #44 was done to alleviate crowding in the mandibular anterior region and #15 was extracted to protract #16 to achieve a Class II molar relationship. A pre-functional Class II molar and canine relationship with co-incident midlines were achieved. The functional phase consisted of a fixed functional appliance (Forsus FRD) for mandibular advancement to correct the severe skeletal Class II. Class I molar and canine relationships were achieved with the reduction of facial convexity and overjet. The result remained stable 24 months after treatment. The improvement can be quantified by the reduction in scores of orthodontic indices measured pre and post-treatment.Conclusions: Management of Class II subdivision malocclusion requires careful planning. This paper presents a unique approach utilizing unilateral extractions and fixed functional appliances to address severe skeletal Class II discrepancy and the subdivision dilemma.

Ključne riječi

Class II malocclusions, Unilateral extractions, Forsus FRD, Fixed Functional Appliances, Class II subdivision management

Hrčak ID:

261611

URI

https://hrcak.srce.hr/261611

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