Treatment of a Class II subdivision malocclusion with multiple congenitally missing teeth.
This case report describes the treatment of a patient with a Class II Division 1 subdivision right malocclusion with 8 congenitally missing teeth, incompetent lips, and incisor protrusion. The treatment plan included extractions and space closure with retraction of the anterior teeth; symmetric mechanics were used in the mandibular arch and asymmetric mechanics in the maxillary arch. Because of the mechanics used, some midline deviations were expected. Knowledge of diagnosis and treatment planning of asymmetric malocclusions and dental esthetics are essential for success when correcting asymmetic problems, but, even so, small clinical compromises should be expected.
Janson
Guilherme
G
Department of Orthodontics, Bauru Dental School, University of São Paulo, São Paulo, Brazil. jansong@travelnet.com.br
Camardella
Leonardo Tavares
LT
de Freitas
Marcos Roberto
MR
de Almeida
Renato Rodrigues
RR
Martins
Décio Rodrigues
DR
D000848:Anodontia / Q000150:complications* / Q000628:therapy; D002508:Cephalometry; D002648:Child; D005146:Facial Asymmetry / Q000150:complications*; D005260:Female; D006801:Humans; D007180:Incisor / Q000503:physiopathology; D008312:Malocclusion, Angle Class II / Q000150:complications* / Q000628:therapy*; D019516:Orthodontic Space Closure; D009971:Orthodontics, Corrective / Q000379:methods*; D063173:Retrognathia / Q000150:complications / Q000628:therapy; D014079:Tooth Eruption, Ectopic / Q000150:complications / Q000628:therapy; D014081:Tooth Extraction