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 impl...

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Main Authors: Qamruddin, Irfan, Shahid, Fazal, Alam, Mohammad Khursheed, Jamal, Wafa Zehra
Format: Article
Language:English
Published: Hindawi Publishing Corporation 2014
Subjects:
Online Access:http://eprints.usm.my/38412/
http://eprints.usm.my/38412/1/Camouflage_of_Severe_Skeletal_Class_II_Gummy_Smile_Patient_Treated_Nonsurgically_with_Mini.pdf
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author Qamruddin, Irfan
Shahid, Fazal
Alam, Mohammad Khursheed
Jamal, Wafa Zehra
author_facet Qamruddin, Irfan
Shahid, Fazal
Alam, Mohammad Khursheed
Jamal, Wafa Zehra
author_sort Qamruddin, Irfan
building USM Institutional Repository
collection Online Access
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 13mmand excessive display of incisors and gums. Bothmaxillary 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 usm-384122018-01-17T07:17:00Z http://eprints.usm.my/38412/ Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants Qamruddin, Irfan Shahid, Fazal Alam, Mohammad Khursheed Jamal, Wafa Zehra RK1-715 Dentistry 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 13mmand excessive display of incisors and gums. Bothmaxillary 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 Article PeerReviewed application/pdf en http://eprints.usm.my/38412/1/Camouflage_of_Severe_Skeletal_Class_II_Gummy_Smile_Patient_Treated_Nonsurgically_with_Mini.pdf Qamruddin, Irfan and Shahid, Fazal and Alam, Mohammad Khursheed and Jamal, Wafa Zehra (2014) Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants. Case Reports in Dentistry, 2014 (382367). pp. 1-7. ISSN 2090-6447 http://dx.doi.org/10.1155/2014/382367
spellingShingle RK1-715 Dentistry
Qamruddin, Irfan
Shahid, Fazal
Alam, Mohammad Khursheed
Jamal, Wafa Zehra
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 RK1-715 Dentistry
url http://eprints.usm.my/38412/
http://eprints.usm.my/38412/
http://eprints.usm.my/38412/1/Camouflage_of_Severe_Skeletal_Class_II_Gummy_Smile_Patient_Treated_Nonsurgically_with_Mini.pdf