title: Correction of Angle Class II division 1 malocclusion with a mandibular protraction appliances and multiloop edgewise archwire technique.
abstract: A Brazilian girl aged 14 years and 9 months presented with a chief complaint of protrusive teeth. She had a convex facial profile, extreme overjet, deep bite, lack of passive lip seal, acute nasolabial angle, and retrognathic mandible. Intraorally, she showed maxillary diastemas, slight mandibular incisor crowding, a small maxillary arch, 13-mm overjet, and 4-mm overbite. After the diagnosis of severe Angle Class II division 1 malocclusion, a mandibular protraction appliance was placed to correct the Class II relationships and multiloop edgewise archwires were used for finishing. Follow-up examinations revealed an improved facial profile, normal overjet and overbite, and good intercuspation. The patient was satisfied with her occlusion, smile, and facial appearance. The excellent results suggest that orthodontic camouflage by using a mandibular protraction appliance in combination with the multiloop edgewise archwire technique is an effective option for correcting Class II malocclusions in patients who refuse orthognathic surgery.
authors.affiliation: Discipline of Orthodontics, School of Dentistry, Federal University of Maranhão, São Luís-Maranhão, Brazil.
authors.forename: Benedito
authors.initials: B
authors.lastname: Freitas
authors.affiliation: Private Practice, São Luís-Maranhão, Brazil.
authors.forename: Heloiza
authors.initials: H
authors.lastname: Freitas
authors.affiliation: Discipline of Orthodontics, School of Dentistry, Federal University of Ceará, Fortaleza, Brazil.
authors.forename: Pedro César F
authors.initials: PC
authors.lastname: Dos Santos
authors.affiliation: Department of Orthodontics, Bauru Dental School, University of São Paulo, São Paulo, Brazil.
authors.forename: Guilherme
authors.initials: G
authors.lastname: Janson
keywords: Class II malocclusion; Mandibular advancement; Orthodontic treatment