title: Treatment of adult Class II division 2 patient with metal hypersensitivity.
abstract: This case report describes the orthodontic treatment of an adult female with an Angle Class II division 2 malocclusion with a severe deep bite and a congenitally missing lower incisor. The use of available orthodontic devices and materials was limited because the patient had metal allergies. Following a careful examination and case analysis, the preadjusted edgewise appliances and the microscrew implants were placed after the upper first premolars were extracted. After active treatment, a good facial profile and occlusion were achieved. These results have been maintained for 2 years following completion of the active treatment.
authors.affiliation: a  Private Practice, Takarazuka, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Haraguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Yamashiro
mesh_terms: D000328:Adult; D000848:Anodontia / Q000628:therapy; D001641:Bicuspid / Q000601:surgery; D001863:Bone Screws; D002857:Chromium / Q000009:adverse effects; D003035:Cobalt / Q000009:adverse effects; D003722:Dental Alloys / Q000737:chemistry; D005260:Female; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology*; D007180:Incisor / Q000002:abnormalities; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D008670:Metals / Q000009:adverse effects*; D008904:Miniaturization; D009532:Nickel / Q000009:adverse effects; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation; D016382:Orthodontic Appliance Design; D009967:Orthodontic Appliances; D057887:Overbite / Q000628:therapy; D010347:Patient Care Planning; D014025:Titanium / Q000737:chemistry; D014081:Tooth Extraction / Q000379:methods; D016896:Treatment Outcome
chemical_list: D003722:Dental Alloys; D008670:Metals; C023988:beta titanium; D002857:Chromium; D003035:Cobalt; D009532:Nickel; D014025:Titanium
keywords: Deep bite; Metal allergy; Temporary anchorage devices
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