Combined orthodontic-orthopedic approach: a second choice in some surgical cases.
The present case involves the treatment of a 21-year-old speech therapy student presenting a severe Class II/I occlusion with marked oral dysfunction handicapping her profession. In addition to a multibond appliance, the following orthopedic adjuncts were used sequentially: cervical headgear, a bimaxillary functional appliance (Biopart), a provisional occlusal plane, and composite reshaping of canine crowns. The survey of 8 years after recovery suggests that this technique is a viable alternative when patients do not opt for surgery.
Dahan
José
J
University of Louvain, Brussels, Belgium. joseda@skynet.be
D000202:Activator Appliances; D002508:Cephalometry / Q000379:methods; D003680:Deglutition Disorders / Q000628:therapy; D005115:Extraoral Traction Appliances; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000601:surgery / Q000628:therapy*; D016382:Orthodontic Appliance Design; D017289:Orthodontic Appliances, Functional; D018704:Orthodontic Retainers; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods*; D010347:Patient Care Planning; D063173:Retrognathia / Q000628:therapy; D013064:Speech Disorders / Q000628:therapy; D014061:Tongue Habits; D014087:Tooth Movement Techniques / Q000295:instrumentation; D016896:Treatment Outcome; D055815:Young Adult