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Revista Mexicana de Ortodoncia

ISSN 2395-9215 (Print)
Órgano Oficial de Difusión de la Facultad de Odontología de la UNAM
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2014, Number 4

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Rev Mex Ortodon 2014; 2 (4)

Non-surgical profile correction in a class II malocclusion

González RMG, Lara MP
Full text How to cite this article

Language: Spanish
References: 6
Page: 268-272
PDF size: 902.75 Kb.


Key words:

Class II malocclusion, lip incompetence, mandibular rotation.

ABSTRACT

Case report of a 17-year-old male patient, skeletal class II, convex profile, not pleased with his facial appearance and without any intention to undergo surgical treatment. He presents severe protrusion and crowding, lip incompetence and protrusion, 7mm overjet and -3 mm overbite. The treatment goals were to improve lip relation and esthetics, establish a functional occlusion, to improve the profi le and muscular balance. Four fi rst premolar extractions were performed and anchorage control was accomplished with a transpalatal and lingual arch. Treatment results were very successful achieving functional occlusion, lip competence, mandibular rotation and a decrease in profi le convexity without surgical treatment. It is important to know the scopes and limits of orthodontic treatment regarding soft tissues, as well as maintaining anchorage to achieve profi le changes with maxillary incisor retraction.


REFERENCES

  1. Tulloch JF, Medland W, Tuncay OC. Methods used to evaluate growth modification in class II malocclusion. Am J Othod Dentofacial Orthop. 1990; 98: 340-347.

  2. Proffit W, Fields HW, Sarver DM . Ortodoncia contemporánea. 4a ed. EUA. Elsevier Mosby; 2008.

  3. Solem RC, Marasco R, Gutierrez L, Nielsen I, Kim S, Nelson G. Three-dimensional soft-tissue and hard-tissue changes in the treatment of bimaxillary protrusion. Am J Orthod Dentofacial Orthop. 2013; 144: 218-228.

  4. Bravo LA. Soft tissue facial profile changes after orthodontic treatment with four premolars extracted. Angle Orthod. 1994; 64 (1): 31-42.

  5. Burstone CJ. Lip posture and its significance in treatment planning. Am J Orthod. 1967; 53: 262-284.

  6. Kasai K. Soft tissue adaptability to hard tissues in facial profiles. Am J Orthod Dentofacial Orthop. 1998; 113: 674-684.




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Rev Mex Ortodon. 2014;2