Camouflage Treatment in Skeletal Class II Patient with Mandibular Laterognathia: Clinical Case Report
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Abstract
Introduction: When there is a discrepancy in the shape and size of the bone bases in class II patients, facial disharmony is generated. Treatments for correction of dentoskeletal deformities are performed orthopedically, orthodontically, ortho-surgically, or a combination of these. Objective: To establish correct overjet and overbite, eliminating curve of Spee, and maintaining molar class I. To attain canine class I and eliminate crowding. Case presentation: A patient presents skeletal Class II, Division 1 malocclusion. Molar class I, non-established canine class, mixed dentition, parabolic upper and lower arch shape, lower midline deviated 3mm to the right (Laterognathia) 1mm overjet, 0 mm overbite; 0.018" slot Roth appliance placement, upper and lower first premolar extractions, use of midline elastics. Molar class I was maintained, canine class I was established, and a better overjet and overbite ratio was established. Conclusion: The present work suggests orthodontic camouflage as an alternative treatment when the patient is unwilling to undergo orthognathic surgery.
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References
Borja A, García Á, Burgueño M. Diagnóstico y tratamiento de las asimetrías mandibulares. En: Protocolos clínicos de la Sociedad Española de Cirugía Oral y Maxilofacial, (cap.29, pp. 407-416).Madrid: SECOM, 2014. https://www.secomcyc.org/wp-content/uploads/2014/01/cap29.pdf
Vásquez Estrada HA, González López R. Tratamiento ortodóncico camuflaje de una maloclusión clase II esquelética con asimetría dentofacial y ausencias dentarias: reporte de caso clínico. Rev Odont Mex. 2012; 16(4): 264-271. DOI: 10.22201/fo.1870199xp.2012.16.4.34199
Costales Lara LM, Guzmán IV. Prognatismo y laterognasia severos, hiperplasia condilar con marcada asimetría facial. Rev Mex Ortodon. 2014; 2(2): 136–142. DOI: 10.1016/S2395-9215(16)30027-7
Sora-B C, Jaramillo-V PM. Diagnóstico de las asimetrías faciales y dentales. Rev Fac Odontol Univ Antioq. 2005; 16(1-2): 15-25. https://revistas.udea.edu.co/index.php/odont/article/view/3215/2985
Vallejo Ordóñez CA, Durán-Gutiérrez LA, Portillo Nava E, Hernández Carvallo JR. Ortopedia funcional en paciente con hipoplasia condilar. Rev. Mex Ortodon. 2019; 7(2): 99-110. DOI: 10.22201/fo.23959215p.2019.7.2.75637
Wintergerst Fisch A, Iturralde Espinosa C, Reynoso Quezada S. Asimetría facial secundaria a hiperplasia condilar mandibular. Reporte de un caso. Rev Odont Mex. 2011; 15(4): 251-256. DOI: 10.22201/fo.1870199xp.2011.15.4.27875
Nitzan DW, Katsnelson A, Bermanis I, Brin I, Casap N. The clinical characteristics of condylar hyperplasia: Experience with 61 patients. J Oral Maxillofac Surg. 2008; 66(2): 312-318. DOI: 10.1016/j.joms.2007.08.046
Yanagita T, Kuroda S, Takano-Yamamoto T, Yamashiro T. Class III malocclusion with complex problems of lateral open bite and severe crowding successfully treated with miniscrew anchorage and lingual orthodontic brackets. Am J Orthod Dentofacial Orthop. 2011; 139(5): 679-689. DOI: 10.1016/j.ajodo.2009.07.023
Olivieri P, Uribe FA, Quereshy FA. Aesthetic facial surgery and orthodontics: Common goals. Oral Maxillofac Surg Clin North Am. 2020; 32(1):153-165. DOI: 10.1016/j.coms.2019.09.004
Angle E. Classification of malocclusion. Dental Cosmos. 1899; 41(18):248- 264.
Kinzinger G, Frye L, Diedrich P. Class II treatment in adults: comparing camouflage orthodontics, dentofacial orthopedics and orthognatic surgery- a cephalometric study to evaluate various therapeutic effects. J Orofac Orthop. 2009; 70(1): 63-91. DOI: 10.1007/s00056-009-0821-2
Jacobson A. The “Wits” appraisal of jaw disharmony. Am J Orthod. 1975; 67(2): 125-138. DOI: 10.1016/0002-9416(75)90065-2
Pérez-Traconis LB, Macías Valadéz-Bermúdez CG, Alonzo-Echeverría ML. Tratamiento de camuflaje ortodóntico en un paciente clase III con laterognasia. Rev Odontol Latinoam. 2015; 7(1): 33-38. https://www.odontologia.uady.mx/revistas/rol/pdf/V07N1p33.pdf
Valencia R, Espinosa R. Manejo no quirúrgico de un paciente con microsomía hemifacial por agenesia condilar. Reporte de un caso. [Non surgical management of a patient with hemifacial microstomia due to condylar agenesis; a case report]. Rev. Oper Dent Biom. 2014; 3(2): 11-25. https://www.rodyb.com/wp-content/uploads/2014/05/2-vol-3-N2-1-NO-QUIRURGICO-1.pdf
Mihalik CA, Proffit WR, Phillips C. Long-term follow up of class II adults treated with orthodontic camouflage: A comparison with orthognathic surgery outcomes. Am J Orthod Dentofacial Orthop. 2003; 123(3): 266-278. DOI: 10.1067/mod.2003.43
González Espinosa D, Santos M, Mendes SMDA, Normando D. Mandibular propulsion appliance for adults with class II malocclusion: a systematic review and meta-analysis. Eur J Orthod. 2020; 42(2): 163-173. DOI:10.1093/ejo/cjz089
Raposo R, Peleteiro B, Paço M, Pinho T. Orthodontic camouflage versus orthodontic–orthognathic surgical treatment in class II malocclusion: a systematic review and meta–analysis. Int J Oral Maxillofac Surg. 2018; 47(4): 445-455. DOI: 10.1016/j.ijom.2017.09.003