Column Orthodontics and Ideas – Class compensatory orthodontic treatment II with perspective of future orthognathic surgery – case report

Vol. 15 – Number 60 – 2022 Column Orthodontics and Ideas Page 14-23 Class compensatory orthodontic treatment II with perspective of future orthognathic surgery – case report Guaracy Fonseca Junior1 Ney Tavares Lima Neto2 Gurgiane Gurgel3 Poliana Larissa Cardoso dos Santos4 Priscila Pinto Brandão de Araújo5 Fabiana Souza de Santos6 Abstract Angle Class II malocclusion can be treated in a variety of ways based on the existing anteroposterior discrepancy, crowding, age, and patient cooperation. The purpose of Class II compensatory treatment is to mask the skeletal discrepancy through dental compensations. The objective of this study was to present a case report of a skeletal, dental and integumentary Class II compensatory treatment, allowing for an orthognathic surgery in the future, if the patient wishes to do so. The male patient, 10 years old, went to the Postgraduate Course in Dentistry for orthodontic treatment, with an initial complaint of “upper teeth too far forward”. After clinical analysis and complementary exams, he was diagnosed with skeletal, dental and integumentary Angle Class II malocclusion. He presented a marked overjet with lack of space for the eruption of the maxillary canines, so it was decided to extract the first premolars and perform anterior retraction with elastics. The patient, at the end of the treatment, was in canine dental class I, but his convex profile would only be improved with orthognathic surgery, as shown in the Dolphin simulation. Therefore, the treatment of choice achieved the desirable results by solving the canine dental Class II malocclusion. Descriptors: Malocclusion angle class II, treatment, extraction, orthognathic surgery. 1 Specialist and Master in Orthodontics – SL Mandic, PhD in Orthodontics – SL Mandic/SP. 2 Specialist in Orthodontics – Sociedade Paulista de Ortodontia, Master in Orthodontics – SL Mandic, PhD in Orthodontics – SL Mandic/SP. 3 Specialist in Orthodontics – CPO – Natal/RN, Master in Dental Sciences. 4 Specialist in Orthodontics – FACSETE/Recife. 5 Specialist, Master and PhD in Orthodontics – SL Mandic/SP, Specialist in Collective Health. 6 Specialist in Orthodontics – FACSETE/Recife. DOI: 10.24077/2022;1560-007689202