Home Current issue Instructions
About us Archives Login 
Editorial board Search articles Contact us
Home Print this page Email this page Users Online: 577
CASE REPORT
Year : 2017  |  Volume : 6  |  Issue : 1  |  Page : 59-64

Early interception of mandibular shifting: A longitudinal approach from deciduous through mixed and permanent dentitions


1 Department of Orthodontics, School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
2 Department of Orthodontics, School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil; Department of Orthodontics, Universidad Intercontinental, D.F., Mexico
3 Department of Orthodontics, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
4 Department of Orthodontics, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil; The Center for Advanced Dental Education, SLU, MO, USA

Correspondence Address:
Orlando Motohiro Tanaka
Pontifícia Universidade Católica do Paraná, R. Imaculada Conceição, 1155, Curitiba, Brazil

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9626.198619

Rights and Permissions

A Class II malocclusion with a unilateral posterior crossbite in the late deciduous dentition is a challenging type of malocclusion to intercept. The objective is to analyze the long-term changes in a patient with a skeletal Class II division 1 malocclusion. A 5-year-old female child who was referred from a pediatric dentist came for consultation. Correction of posterior crossbite involves expansion of the maxillary arch with the aim of removal of occlusal interferences and elimination of the functional shift of the mandible. The treatment comprised three stages: (1) Expansion of the maxillary arch was performed with a modified Haas palatal expander and the clinical procedures thus resulted in improved facial symmetry and satisfactory functional occlusion in the mixed dentition (8 years 10 months). (2) Distalization of maxillary first molars was done with a Kloehn type headgear and a lip bumper was placed in the mandible to maintain the arch perimeter (12 years). (3) A 0.022 inch × 0.028 inch standard edgewise fixed appliance was used for comprehensive orthodontic treatment and the objectives were accomplished (14 years 5 months). The results showed great improvements in function and esthetics, and posttreatment stability was good after 7 years and 5 months.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1920    
    Printed39    
    Emailed0    
    PDF Downloaded365    
    Comments [Add]    

Recommend this journal