Orthotown November 2015 - (Page 38)

clinical orthodontics // feature Effective Treatment of Fig. 1A Class II Deep Bite in Adult Cases by Dr. Michel Di Battista Fig. 1B Fig. 1C Fig. 1D Fig. 1E Fig. 1F Fig. 1G Class II deep bite in adult cases The treatment options regarding most Class II deep bite adult cases with mild to moderate crowding are: decompensation of the dental arches and mandibular surgical advancement (with or without genioplasty), or extraction of two upper premolars with a less-favorable facial aesthetic outcome. "Class II adult deep bite" is a very vague label. Periodontal status, lip seal, incisor showing, transverse dimension, tongue size, and sleep apnea, to name just a few, are among the factors that influence whether to elect a combination of orthodontic treatment and maxillofacial surgery or an alternative. In 1996, Dr. John P. De Vincenzo made Eureka Springs pushing Class II 38 NOVEMBER 2015 // orthotown.com correctors available. The first patients I tried them on were partially to almost fully corrected within three months. While it is true that these first patients were still growing, I knew the change was too fast to attribute to regular growth. I felt I had a dentoalveolar phenomenon on my hands. I was soon using them in cases that were significantly beyond the growth period, with amazing outcomes and very stable results (no dual-bite, no "postural orthodontics" and negligible CR-CO discrepancies). Fourteen years ago, 3M launched the Forsus Fatigue Resistant Device. It delivers the same results, but with significantly fewer breakages and emergencies than the products I used early on. I use Forsus correctors exclusively now. The purpose of this article is to demonstrate that the treatment alternative of employing 3M Forsus Class II correctors is not just a second-best alternative, but the treatment of choice in selected cases, all factors and risks considered. The following case reports are adult Class II deep-bite patients treated with the Forsus Fatigue Resistant Device without extractions and without maxillofacial surgical procedures. Case No. 1 This case involves a 38-year-old woman. She came in for a second opinion because she declined the surgery suggested by the previous orthodontist. Chief complaint: "I am hurting myself at the palate." http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown November 2015

Orthotown.com Highlights
Embrace Progress: Congratulations, You’re Just an Orthodontist
What Do You Do When You Just Need to Bail Out on a Case?
How Would You Treat Non-Surgically?
Progressive Smile Design: Changing the Shape of Cosmetic Dentistry
Equip the Operatory— Not the Junk Drawer
The Five Key Components to Team Synergy
What’s On Your Tray? Cementation
Product Profi le: Burleson Seminars
How Pro-Bono Work Can Increase Your Sales
Effective Treatment of Class II Deep Bite in Adult Cases
Poll
A Fast-Track Guide to Selecting the Best Wires
The Airway, Breathing and Orthodontics
Imaging Guide
Ad Index

Orthotown November 2015