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Orthodontic Treatment
Orthodontic Treatment for Class 2 Malocclusion
Patient Information
- Name: Aman
- Age: 14
- Gender : Male
- Date of Presentation: April 2021
- Treatment Completion Date: June 2023
- Dentist: Dr. Harsh Bharti
Before Images
After Images
Aman, a 14-year-old boy, visited our clinic with his parents, expressing concerns about his appearance due to a misaligned smile and anteriorly placed upper teeth.
Aman’s medical history revealed no significant health issues or allergies that could impact the orthodontic treatment.
Upon clinical examination, it was evident that Aman exhibited an orthodontic class 2 malocclusion, characterized by an anterior positioning of the upper teeth relative to the lower teeth. Additionally, Aman had a deficient mandible, contributing to his facial appearance and malocclusion.
The patient was diagnosed as an orthodontic class 2 malocclusion with a deficient mandible. This condition results in an overjet, where the upper front teeth are positioned too far forward concerning the lower teeth. The deficiency of the mandible further accentuated the aesthetic and functional issues.
The class 2 malocclusion was attributed to hereditary factors, where genetic predisposition played a role in the misalignment of the teeth. Additionally, Aman’s history of thumb-sucking during childhood could have contributed to the development of malocclusion.
The primary concern Aman and his parents highlighted was the apparent incompatibility of his lips with his anteriorly placed upper teeth, affecting his smile and overall facial aesthetics.
Treatment Plan
A comprehensive treatment plan was devised to address Aman’s orthodontic issues and enhance his facial aesthetics:
Phase 1: Twin Block Appliance: Given Aman’s age and deficient mandible, a Twin Block appliance was recommended. The Twin Block is a functional appliance designed to promote mandibular growth and improve the relationship between the upper and lower jaws during the growth phase.
Phase 2: Orthodontic Treatment: Orthodontic treatment was initiated after successfully using the Twin Block appliance to encourage mandibular growth. This phase aimed to align the teeth, correct the class 2 malocclusion, and achieve an aesthetically pleasing smile.
Procedure
Twin Block Appliance: Aman was fitted with the Twin Block appliance, which consisted of upper and lower removable devices designed to guide mandibular growth by repositioning the lower jaw.
Orthodontic Treatment
After completing the Twin Block phase and achieving the desired mandibular growth, Aman received orthodontic treatment involving braces to align his teeth properly. This phase included adjustments and periodic visits to ensure optimal progress.
Outcome
The combined treatment approach of the Twin Block appliance followed by orthodontic treatment led to significant improvements in Aman’s facial aesthetics and smile. The class 2 malocclusion was corrected, and his deficient mandible was appropriately addressed.
Follow-up
Regular follow-up appointments were scheduled to monitor Aman’s progress, adjust the orthodontic appliances as needed, and ensure the desired outcomes were achieved.
Conclusion
This case highlights the successful orthodontic treatment of a class 2 malocclusion with a deficient mandible in a teenage patient. The phased approach involving the Twin Block appliance and subsequent orthodontic treatment resulted in improved facial harmony, proper teeth alignment, and an enhanced smile.