Proffit WR. Treatment for adults, 3rd edn. In: Proffit WR (ed). St Louis: Mosby; 2000
Fritz U, Diedrich P, Wiechmann D. Lingual technique – patients' characteristics, motivation and acceptance. J Orofac Orthop. 2002; 63:227-233
Garland-Parker L. The Complete Lingual Orthodontic Training Manual, 3rd edn. : Professional Orthodontic Consulting; 1994
Frankel R. Decrowding during eruption under the screening influence of vestibular shields. Am J Orthod. 1974; 65:372-406
Vig PS, Vig KWL. Hybrid appliances: a component approach to dentofacial orthopaedics. Am J Orthod Dentofacial Orthop. 1988; 90:273-285
Clark WJ. The twin block technique: a functional appliance system. Am J Orthod Dentofacial Orthop. 1988; 93:1-18
Alexander CM, Alexander RG, Gorman JC, Hilgers JJ, Kurz C, Scholz RP Lingual orthodontics: a status report. Part 5. Lingual mechanotherapy. J Clin Orthod. 1983; 17:99-115
Creekmore T. Lingual orthodontics: its renaissance. Am J Orthod Dentofacial Orthop. 1989; 96:120-137
Ruf S, Pancherz H. Dentoskeletal effects and facial profile changes in young adults treated with the Herbst appliance. Angle Orthod. 1999; 69:239-246
Chaiyongsirisern A, Bakr RA, Ricky W, Wong K. Stepwise advancement herbst appliance versus mandibular sagittal split osteotomy treatment effects and long-term stability of adult class II patients. Angle Orthod. 2009; 79:1084-1094
McNamara JA. Dentofacial adaptations in adult patients following functional regulator therapy. Am J Orthod. 1984; 85:57-71
Every treatment technique in the orthodontic specialty has its own set of advantages. Combining the techniques in an effective manner could result in a synergistic effect. Two such techniques are lingual orthodontics and functional orthopaedic appliances. This case report shows the effective and efficient use of a customized functional appliance, along with lingual orthodontics, in the management of Class II division 1 malocclusion. It emphasizes the importance of combining the benefits of different strategies of orthodontic treatment.
CPD/Clinical Relevance: The use of a customized functional appliance along with lingual orthodontics can produce desirable changes in Class II division 1 cases and clinicians should be aware of these advantages.
Article
Orthodontic treatment offers our patients improvement of mastication, speech, appearance, as well as overall health, comfort and self-esteem. Many adult patients require well aligned teeth to improve their aesthetics, as dental exposure and smile are fundamental for the aesthetics of the face. The clinical case presented is an example of treatment in a case of Class II division 1 malocclusion. This article describes the use of a customized functional appliance, along with lingual orthodontics, in an adult patient with a Class II, division 1 malocclusion treated without extraction.
An 18-year-old female patient reported to the department of orthodontics with a chief complaint of protrusive upper front teeth. No relevant medical and dental history was elicited. She was a mesomorphic individual and her facial analysis revealed an average clinical facial height. The patient also had a convex facial profile with acute nasolabial angle, deep mentolabial sulcus and incompetent lips. Intra-oral clinical examination revealed a deep overbite with a Class II molar relation, asymmetric maxillary and mandibular arches, spaced anterior dentition, with the lower midline shifted towards the patient's right side and a moderate amount of crowding in the mandibular premolar region. The upper incisors were proclined with an overjet of 14 mm (Figure 1).
Register now to continue reading
Thank you for visiting Orthodontic Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
