Mini-implants for en masse intrusion of maxillary anterior teeth in a severe Class II division 2 malocclusion.
This case report describes the treatment of a 16-year-old post pubertal male patient with a severe Class II division 2 malocclusion and 100% deep bite. In the first phase of treatment, a 'Jones-Jig' molar distalization appliance was used to distalize the maxillary molars by more than 6 mm, to achieve a Class I molar relation. In the second phase of treatment, mini-implants were inserted between the roots of the maxillary lateral incisor and canine to intrude all the maxillary anterior teeth en masse in a single step. Four millimetres of intrusion was achieved. The implants remained stable throughout treatment. In the mandibular arch the incisors were proclined to alleviate the severe crowding. Good overjet and overbite was achieved and has been maintained one year after completion of active orthodontic treatment.
Division of Orthodontics, Department of Craniofacial Sciences, University of Connecticut Health Center, Farmington, CT 06030, USA. madhurup@yahoo.com
Madhur
M
Upadhyay
K
K
Nagaraj
Sumit
S
Yadav
Ruchi
R
Saxena
D000293:Adolescent; D003481:Cuspid / Q000473:pathology; D015921:Dental Implants; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000473:pathology*; D008297:Male; D008312:Malocclusion, Angle Class II / Q000473:pathology / Q000628:therapy*; D008437:Maxilla; D008963:Molar / Q000473:pathology; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation*; D016382:Orthodontic Appliance Design; D010347:Patient Care Planning; D014087:Tooth Movement Techniques / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome
D015921:Dental Implants