title: Correction of a severe skeletal Class II occlusion with a fixed functional appliance anchored on mini-implants: a patient report.
abstract: This report describes the treatment of a patient with a severe skeletal Angle Class II occlusion with a 14-mm overjet, crowding, and protrusion of the mandibular anterior teeth. The Class II relationship was caused mainly by a short corpus of the mandible. A fixed functional appliance was directly anchored on mini-implants, which were inserted in the mandible. A significant amount of mandibular advancement was achieved, with no protrusion of the mandibular anterior teeth. Facial esthetics improved considerably. This is the first patient report to demonstrate that mini-implants can be applied to anchor fixed functional appliances. The rationale to use mini-implants with fixed functional appliances and the potential benefits of this procedure are discussed.
authors.affiliation: Craniofacial Center, Department of Craniofacial Dentistry and Orthodontics, Taipei, Taiwan. gandedkar.naru@gmail.com
authors.forename: Narayan H
authors.initials: NH
authors.lastname: Gandedkar
authors.forename: Ameet V
authors.initials: AV
authors.lastname: Revankar
authors.forename: Sanjay V
authors.initials: SV
authors.lastname: Ganeshkar
mesh_terms: D000293:Adolescent; D002508:Cephalometry / Q000379:methods; D003481:Cuspid / Q000473:pathology; D015921:Dental Implants; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000473:pathology; D008297:Male; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D008334:Mandible / Q000473:pathology; D019186:Mandibular Advancement / Q000295:instrumentation / Q000379:methods; D008904:Miniaturization; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation*; D016382:Orthodontic Appliance Design; D017289:Orthodontic Appliances, Functional; D019516:Orthodontic Space Closure / Q000295:instrumentation / Q000379:methods; D057887:Overbite / Q000628:therapy; D010347:Patient Care Planning; D014087:Tooth Movement Techniques / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants