Camouflage Orthodontic Retreatment Of Class II Malocclusion with SevereOverjet, Previously Treated by General Practitioner : A Case Report

Abstract

Introduction: Since so many decades, various treatment modalities have been presented for the class II division 1 malocclusions treatment. In recent times, there are increasing numbers of patients who desire the shortest, cost effective and a non-surgical correction of Class II malocclusions and they accept dental camouflage as a treatment option to mask the skeletal discrepancy. Therefore, an accurate diagnosis and good treatment planning should be done. Patients previously treated by general practitioner usually were not satisfied because of poor diagnosis and treatment plan. Case Report: This case report presents a 25- year-old female who had a skeletal Class II division 1 malocclusion. She had convex profile with an orthognathic maxilla, a retrognathic mandible. Intraoral examination showed an overjet of 6 mm. She was previously treated by a general practitioner and already had her upper first premolars extracted. The treatment plan consisted of an extraction unilateral mandibular first premolar and standard edgewise appliance. Following the treatment, a satisfactory result was achieved with a stable and functional occlusion, and an ideal facial profile. Conclusion: A good occlusion and better facial profile can be achieved in an orthodontic retreatment case by carefully planning treatment objectives and biomechanics.