Treatment of Vertical Maxillary Excess and Skeletal Class II Malocclusion: A Case Report
Komal J Agrawal, Khyati Gupta, Prachi Khandelwal, Vaibhav Pipare, Anushka Jain, Khushee Raisoni
TL;DR
This case report describes the successful orthodontic treatment of a young girl with a skeletal Class II malocclusion and vertical maxillary excess using non-surgical methods.
Contribution
The paper presents a specific clinical case demonstrating the effectiveness of a modified Herren activator and high-pull headgear in treating vertical maxillary excess and skeletal Class II malocclusion.
Findings
The treatment successfully corrected the patient's overjet and overbite without surgery.
The use of a modified Herren activator and high-pull headgear helped redirect growth and improve facial aesthetics.
Proper diagnosis and treatment planning were critical to achieving favorable outcomes.
Abstract
Class II malocclusion is a recurrent problem that may occur at a young age. If treated initially, the malocclusion can be corrected by redirecting the growth without invasive modalities and avoiding orthognathic surgeries. A female patient aged 10 years three months came to the department of orthodontics having a complaint of upper front teeth placed forwardly, diagnosed with skeletal class II due to retrusive mandible and vertical maxillary excess with hyper divergent growth pattern with increased anterior facial height, with Angle’s molar class II division 1 malocclusion, increased overjet of 13 mm and overbite of 7 mm, acute nasolabial angle, deep mentolabial sulcus, and hyperactive mentalis. It was treated using an activator with medium-high-pull headgear (modified Herren activator) passing through the maxillary center of resistance. A fixed mechanotherapy with high-pull headgear…
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Taxonomy
TopicsOrthodontics and Dentofacial Orthopedics · Temporomandibular Joint Disorders · Dental Radiography and Imaging