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Órgano Oficial de Difusión de la Facultad de Odontología de la UNAM

2014, Number 2

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Rev Mex Ortodon 2014; 2 (2)

Class II division 1 correction with maxillary second premolar extractions. Case report

Dávila GDG, Vázquez LA, Ortiz VM, Campos RAP

Language: Spanish
References: 9
Page: 130-135
PDF size: 1058.85 Kb.


ABSTRACT

Introduction: Class II-1 can be the result of a retrognathic mandible, a prognathic maxillary or both. Nowadays, there are several ways for class II treatment: maxillary first bicuspid extractions that can also include the extraction of one lower incisor or the first or second mandibular bicuspids, depending the case, or even the extraction of the second maxillary bicuspids as well. Objectives: To achieve canine class I, correct the midline discrepancy, the excessive overjet and to improve the patient’s aesthetics. Case report: Female patient of 32.6 years of age who had a previous orthodontic treatment with extractions of the first maxillary and mandibular bicuspids presents absence of the maxillary second bicuspid, generalized mild chronic periodontitis and previous mental foramen fracture with mentoplasty. Conclusions: The 2nd bicuspid extraction was the best alternative to avoid another surgery, with a significant change in the patient’s profile, improving her expectations and self-esteem.


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