One Phase or Two Phase Treatment Modality in Children With Class II Div 1 Malocclusion: A Dilemma in Orthodontics

Chavan, P. J.; Pachori, Yashpal; Barthunia, Neeral; Bothra, Jitendra
December 2012
Indian Journal of Stomatology;2012, Vol. 3 Issue 4, p262
Academic Journal
The majority of the patients with Class II division 1 malocclusions have the presence of underlying skeletal discrepancy between maxilla and mandible. 2 basic strategies for the treatment of Class II division 1 malocclusion in children are common: 1) Treatment in 2 phases, one started early in pre-adolescent and second during adolescent years, 2) treatment in single phase of active treatment during the adolescent years. Both the strategies have their own advantages and disadvantages. Early treatment for Class II malocclusion is frequently undertaken with the objective of correcting skeletal disproportion by altering the growth pattern. Growth modification is the interceptive mode of intervening in the developing Class II skeletal condition. Growth modification procedures are normally carried out during mixed or early permanent dentition before the cessation of active growth. The goals of growth modification is to alter the unacceptable skeletal relationship by modifying the patient's remaining facial growth to favorably change the size, orientation and position of the jaws. The overall treatment of skeletal Class II depends upon the age of the patients, growth potential, severity of malocclusion, whether dental or skeletal and associated malocclusion.


Related Articles

  • Epidemiology and Public Health Aspects of Malocclusion. HELM, SVEN // Journal of Dental Research;Aug1977 Supplement 3, Vol. 56, pC27 

    This article reports on dental malocclusion in relation to epidemiology and public health. Malocclusion is the misalignment of teeth related to the jaw, mandible, and maxilla. The article discusses orthodontics in terms of research and the treatment of malocclusion, as well as early orthodontist...

  • Timely management of developing class III malocclusion. Yelampalli, M. R.; Rachala, M. R. // Journal of the Indian Society of Pedodontics & Preventive Dentis;Jan-Mar2012, Vol. 30 Issue 1, p78 

    Timing of orthodontic treatment, especially for children with developing class III malocclusions, has always been somewhat controversial, and definitive treatment tends to be delayed for severe class III cases. Developing class III patients with moderate to severe anterior crossbite and deep...

  • The effect of treatment with the Bass appliance on skeletal Class II malocclusions: a cephalometric investigation. Cura, Nil; Saraç, Müyesser // European Journal of Orthodontics;1997, Vol. 19 Issue 6, p691 

    The purpose of this investigation was to study the short-term effects of treatment with the Bass appliance by comparative evaluation of treated and untreated skeletal Class II malocclusions. The subjects consisted of forty-seven Class II, division 1 malocclusion cases. Twenty-seven (14 girls, 13...

  • Ortodontik malokluzyonlar ve tedavilerinin havayolu boyutlarına, dil ve hyoid kemik konumuna etkisi. İça, Betül; Öztürk, Fırat // Open Journal of Pediatrics;Jan2014, Vol. 17 Issue 1, p101 

    Tongue and hyoid bone position, due to the muscle attachments surrounding them and the airway dimensions, depending on the structures that surround them are affected by the relationship of the maxilla and mandible. The malocclusions that influence the relationship between maxilla and mandible...

  • A comparison of chincap and maxillary protraction appliances in the treatment of skeletal class III malocclusions. Üçücü, N; Tortop, T; Üçem; Yüksel, S // European Journal of Orthodontics;Feb2000, Vol. 22 Issue 1, p43 

    The purpose of this retrospective investigation was to compare cephalometrically the treatment effects of chincap and maxillary protraction appliances in subjects with a Class III skeletal malocclusion with a combination of an underdeveloped maxilla and prominent mandible. Twenty-four patients...

  • Treatment of skeletal class II division 1 malocclusion with mandibular deficiency using myofunctional appliances in growing individuals. Pachori, Y.; Navlani, M.; Gaur, T.; Bhatnagar, S. // Journal of the Indian Society of Pedodontics & Preventive Dentis;Jan-Mar2012, Vol. 30 Issue 1, p56 

    Class II division 1 malocclusion is the most common malocclusion seen in day-to-day practice. The majority of the patients with class II division 1 malocclusions have the presence of underlying skeletal discrepancy between maxilla and mandible. The treatment of skeletal class II division 1...

  • CLASS II DIVISION 1 MALOCCLUSION WITH SEVERE OVERBITE: CEPHALOMETRIC EVALUATION OF THE EFFECTS OF ORTHODONTIC TREATMENT. Marques, Leandro Silva; Ramos-Jorge, Maria Letícia; Mônica Tirre de Souza Araujo; Bolognese, Ana Maria // World Journal of Orthodontics;2008, Vol. 9 Issue 4, p319 

    Aim: To evaluate the effects of orthodontic treatment among individuals with Class II Division 1 malocclusion and severe overbite. Methods: The sample was made up of 70 patients (35 males and 35 females), with an average age of 11.6 years in pretreatment and 14.9 years in posttreatment. One...

  • Fixed Lingual Mandibular Growth Modificator: A new appliance for Class II correction. Osama Hasan Alali // Dental Press Journal of Orthodontics;Jul/Aug2013, Vol. 18 Issue 4, p70 

    Introduction: This article demonstrates the description and use of a new appliance for Class II correction. Material and Methods: A case report of a 10-year 5 month-old girl who presented with a skeletally-based Class II division 1 malocclusion (ANB = 6.5°) on a slightly low-angle pattern,...

  • Management of severe Class II malocclusion with sequential removable functional and orthodontic appliances: A case for MOrthRCSEd examination. Ching Fan Li, Larry; Wing-Kit Wong, Ricky // Dental Press Journal of Orthodontics;Sep/Oct2011, Vol. 16 Issue 5, p46 

    Introduction: Functional appliance is an effective way of treating skeletal Class II malocclusion in children and adolescents. A 12-month stepwise mandibular advancement protocol has been proved to enhance the condylar growth and improve the mandibular prognathism using Herbst appliance....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics