Authors : Vivek Bhaskar, Krishna Nayak, Akhil Shetty
DOI : 10.18231/j.jco.2019.028
Volume : 3
Issue : 3
Year : 2019
Page No : 53-57
The treatment of Class II malocclusions in adult patients can be either through orthodontic camouflage or through surgery. As far as camouflage is concerned, upper arch extractions or advancement of the mandibular dentition are done to reduce the overjet. When such malocclusions are combined with problems in other planes of space such as open bite, midline shifts etc, accurate diagnosis and treatment planning are paramount to ensure a stable treatment result. This case report is of a 20 year old male patient who presented with a Class II div 1 malocclusion coupled with an anterior open bite. He had an orthognathic maxilla, retrognathic mandible, recessive chin, mm overjet, mm open bite extending from 15 to 23, missing 31. Open bite correction was done by intrusion of the maxillary posteriors using miniscrews, followed by space creation for prosthetic replacement of 31, and using a fixed functional appliance to achieve a Class I occlusion.
Keywords: Class II malocclusion, posterior intrusion, mini screws, forsus FRD.