[Treatment of skeletal Class II adult patients with microscrew implant anchorage and multi-loop edgewise arch wire].
OBJECTIVE
To evaluate the effects and mechanisms of the microscrew implant anchorage (MIA) combined with multi-loop edgewise arch wire (MEAW) technique in the treatment of skeletal Class II adult patients.


METHODS
Eleven adult patients with skeletal Class II high-angle malocclusions were treated with fixed appliances. The spaces were closed by the springs from the MIA to the hook on the archwire. The height of the hook and the direction of the force were different according to the intrusion and retraction of upper anterior teeth. In the finishing stage, MEAW technique and modified class II elastics (from the first loop of MEAW to the MIA) were used for final detailing. Cephalometric analysis was used to evaluate the effect after treatment.


RESULTS
After treatment, the decrease of SNA, ANB and FMA were (2.86 +/- 1.05) degrees , (2.82 +/- 0.96) degrees and (2.95 +/- 1.35) degrees , respectively. The torque control of upper anterior teeth was good. The protrusion of lower incisors and the molar extrusion were avoided. The upper molars were moved distally by (3.00 +/- 2.19) mm.


CONCLUSIONS
The treatment of adult patients with skeletal Class II high angle malocclusions with MIA and MEAW technique could not only improve the facial esthetics but also avoided the common side effects of traditional Class II elastics.
Zhou
Yan
Y
Department of Orthodontics, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China. zhouyan_517@yahoo.com.cn
Huang
Min-fang
MF
Fang
Zhi-xin
ZX
Chen
Shi-wen
SW
Ou
Xiao-li
XL
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D052280:Orthodontic Anchorage Procedures; D009969:Orthodontic Wires; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods*; D055815:Young Adult