Simple and effective method for treating severe adult skeletal class II malocclusion: A case report

Abstract

BACKGROUND

Severe skeletal class II malocclusion is the indication for combined orthodontic and orthognathic treatment.

CASE SUMMARY

A woman with a chief complaint of a protruding chin and an inability to close her lips requested orthodontic camouflage. The treatment plan consisted of extracting the right upper third molar, right lower third molar, left lower second molar, and left upper third molar and moving the maxillary dentition distally using a convenient method involving microimplant nail anchors, push springs, long arm traction hooks, and elastic traction chains. After 52 months of treatment, her overbite and overjet were normal, and her facial profile was favorable.

CONCLUSION

This method can be used for distal movement of the maxillary dentition and to correct severe skeletal class II malocclusion in adults.

Keywords: Skeletal class II malocclusion; Maxillary dentition; Microimplant nail; Simple and effective method; Case report

Core Tip: Severe skeletal class II malocclusion in adults can be effectively corrected using a method involving distal movement of the maxillary dentition using microimplant nail anchors, push springs, long-arm traction hooks, and elastic traction chains. After 52 months of treatment with this approach, the patient’s overbite and overjet were normal, and her facial profile improved.