Orthodontic Management of Skeletal Class-II Malocclusion with Horizontally Impacted Maxillary Canine: A Case Report
Abstract
Management of skeletal class II relation in growing patient require careful
evaluation of growth status, proper diagnosis and treatment plan to address
the patient’s need. Twin block is the appliance of choice among functional
appliance to correct the skeletal class II malocclusion due to its acceptability
by the patient and simplified design. Maxillary canine impaction is the
second most prevalent impaction after the third molars. Treatment of
maxillary canine impaction is usually a challenge to orthodontic approach
as the defect lies in the esthetic region of the jaw.
This case report describes the orthodontic management of a 9 years male
patient having skeletal Class II malocclusion with horizontally impacted
maxillary canine. Some modifications in the treatment mechanics are
deemed essential to address the patient’s need for achieving the optimal
esthetic and to improve the occlusion.
Twin block is beneficial for the treatment of skeletal malocclusion in
a growing patient to achieve the maximum benefit. The orientation of
impacted teeth may change from horizontal to favorable one, hence it should
be considered a viable treatment alternative. In such case, early diagnosis
and interception at the right time along with radiographic follow-ups are
necessary to achieve successful results.
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