Timely Combination Therapy of Skeletal and Dental Class II malocclusion with Temporary Anchorage Device and Mesially Impacted Mandibular 2ndMolars: A Case-Report

  • Norma Ab Rahman Orthodontic Unit Co-ordinator and Lecturer, Orthodontic Unit School of Dental Science, UniversitiSains Malaysia, Kubang Kerian 16150, Kota Bharu, Kelantan, Malaysia
  • Mohammad Khursheed Alam Orthodontic Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka 72721, Saudi Arabia
  • Aida Nur Ashikin Ab Rahman Associate Professor, Centre for Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universiti Teknologi Mara, Selangor Branch Campus Sungai Buloh, Malaysia
  • Wey Mang Chek Associate Professor, Department of Paediatric Dentistry and Orthodontics and Clinical Craniofacial Dentistry Research Group, Faculty of Dentistry, University of Malaya, Malaysia
Keywords: Class II malocclusion; temporary anchorage device; impacted mandibular 2nd molars.

Abstract

Introduction: Patient is a 14 years old Chinese boy presented with skeletal Class II with incompetent lips, severe dental Class II malocclusion and severe crowding complicated with both sides mesio-angular impacted of mandibular 2nd molars.

Treatment Plan: Growth modification using functional appliance for skeletal Class II correction with maxillary arch expansion and correction of mandibular plane angle by intrusion of maxillary molars. Extraction of lower 1st premolars and 2nd molars on both sides was carried out in conjunction with fixed orthodontic alignment and to facilitate of spontaneous eruption of lower third molar. Midline correction was followed by space closure and finishing and detailing.

Results: Alignment of upper arch in the regained space with maxillary expansion without any extraction was done. Anterior maxillary dentitions were retracted using Temporary Skeletal Anchorage Devices (TSADs). In lower arch 1st molars were mesially protracted by using class II elastics. 3rd molars spontaneously erupted in the extraction space of 2nd molar. Midline corrected with good facial profile and competent lips.

Conclusions: Timely execution of expert treatment plan can bring cost effective and time saving results with minimum loss. By proper counseling, patient compliance and confidence can be boosted which could have a positive effect on the treatment outcome.

Bangladesh Journal of Medical Science Vol.20(3) 2021 p.682-690

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Abstract
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Published
2021-04-04
How to Cite
Rahman, N., Alam, M. K., Ab Rahman, A. N., & Chek, W. (2021). Timely Combination Therapy of Skeletal and Dental Class II malocclusion with Temporary Anchorage Device and Mesially Impacted Mandibular 2ndMolars: A Case-Report. Bangladesh Journal of Medical Science, 20(3), 682-690. https://doi.org/10.3329/bjms.v20i3.52818
Section
Case Reports