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Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants

Skeletal class II has always been a challenge in orthodontics and often needs assistance of surgical orthodontics in nongrowing patients when it presents with severe discrepancy. Difficulty increases more when vertical dysplasia is also associated with sagittal discrepancy. The advent of mini implan...

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Autores principales: Qamruddin, Irfan, Shahid, Fazal, Alam, Mohammad Khursheed, Zehra Jamal, Wafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274844/
https://www.ncbi.nlm.nih.gov/pubmed/25548686
http://dx.doi.org/10.1155/2014/382367
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author Qamruddin, Irfan
Shahid, Fazal
Alam, Mohammad Khursheed
Zehra Jamal, Wafa
author_facet Qamruddin, Irfan
Shahid, Fazal
Alam, Mohammad Khursheed
Zehra Jamal, Wafa
author_sort Qamruddin, Irfan
collection PubMed
description Skeletal class II has always been a challenge in orthodontics and often needs assistance of surgical orthodontics in nongrowing patients when it presents with severe discrepancy. Difficulty increases more when vertical dysplasia is also associated with sagittal discrepancy. The advent of mini implants in orthodontics has broadened the spectrum of camouflage treatment. This case report presents a 16-year-old nongrowing girl with severe class II because of retrognathic mandible, and anterior dentoalveolar protrusion sagittally and vertically resulted in severe overjet of 13 mm and excessive display of incisors and gums. Both maxillary central incisors were trimmed by general practitioner few years back to reduce visibility. Treatment involved use of micro implant for retraction and intrusion of anterior maxillary dentoalveolar segment while lower incisors were proclined to obtain normal overjet, and overbite and pleasing soft tissue profile. Smile esthetics was further improved with composite restoration of incisal edges of both central incisors.
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spelling pubmed-42748442014-12-29 Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants Qamruddin, Irfan Shahid, Fazal Alam, Mohammad Khursheed Zehra Jamal, Wafa Case Rep Dent Case Report Skeletal class II has always been a challenge in orthodontics and often needs assistance of surgical orthodontics in nongrowing patients when it presents with severe discrepancy. Difficulty increases more when vertical dysplasia is also associated with sagittal discrepancy. The advent of mini implants in orthodontics has broadened the spectrum of camouflage treatment. This case report presents a 16-year-old nongrowing girl with severe class II because of retrognathic mandible, and anterior dentoalveolar protrusion sagittally and vertically resulted in severe overjet of 13 mm and excessive display of incisors and gums. Both maxillary central incisors were trimmed by general practitioner few years back to reduce visibility. Treatment involved use of micro implant for retraction and intrusion of anterior maxillary dentoalveolar segment while lower incisors were proclined to obtain normal overjet, and overbite and pleasing soft tissue profile. Smile esthetics was further improved with composite restoration of incisal edges of both central incisors. Hindawi Publishing Corporation 2014 2014-12-07 /pmc/articles/PMC4274844/ /pubmed/25548686 http://dx.doi.org/10.1155/2014/382367 Text en Copyright © 2014 Irfan Qamruddin et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Qamruddin, Irfan
Shahid, Fazal
Alam, Mohammad Khursheed
Zehra Jamal, Wafa
Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants
title Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants
title_full Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants
title_fullStr Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants
title_full_unstemmed Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants
title_short Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants
title_sort camouflage of severe skeletal class ii gummy smile patient treated nonsurgically with mini implants
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274844/
https://www.ncbi.nlm.nih.gov/pubmed/25548686
http://dx.doi.org/10.1155/2014/382367
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