title: Improving dentofacial esthetics while paying attention to the anterior facial height index.
abstract: Prior to the pubertal growth spurt, a 12-year-old boy with a long face pattern, upper prognathia and class II,2 relationship was treated with a combination of edgewise appliance, statically determined intrusion base arch and Jasper Jumper. The clinical results show that, with the mechanotherapy presented here, good smile esthetics and normal class I occlusion were achieved. Furthermore, the cephalometric results reveal that, by using an appliance which leaves the extrusive effect on the molars small, the anterior facial height index can be kept constant even during the patient's growth phase, although contrary treatment goals such as incisor intrusion and occlusal correction must be met. Simultaneously, it could be demonstrated that Jasper Jumper treatment may not automatically lead to incisor flaring by individualizing the point of force application. In addition, reducing the deep overbite may prevent its destructive tendency, and the patient's growth pattern can be directed in a more horizontal direction.
authors.affiliation: Ormco, Glendora, USA.
authors.forename: F P
authors.initials: FP
authors.lastname: Schwindling
mesh_terms: D000202:Activator Appliances; D002508:Cephalometry / Q000706:statistics & numerical data; D002648:Child; D004955:Esthetics, Dental; D005145:Face / Q000033:anatomy & histology*; D006801:Humans; D008297:Male; D008312:Malocclusion, Angle Class II / Q000628:therapy; D009969:Orthodontic Wires; D009971:Orthodontics, Corrective / Q000379:methods / Q000706:statistics & numerical data; D013997:Time Factors