Compensatory treatment of Class II and skeletal open bite with selfligating brackets – case report

Vol. 14 – Number 53 – 2021 Case report Page 48-55 Compensatory treatment of Class II and skeletal open bite with selfligating brackets – case report Daniel Ferraz Lima1 Marina Lima Anjos2 Layla Santos Carvalho2 Clarissa Izabella Oliveira Santos3 Patricia Maria Coelho4 Antônio Leandro Loureiro Filho5 Abstract Class II malocclusion can be dental, skeletal or a combination of both and is present in approximately 60% of patients seeking corrective orthodontic treatment. Facial Pattern II patient often needs dental decompensation associated with orthognathic surgery to correct the bone bases. With the increasing use of the self-ligating system in Orthodontics, the number of patients who were indicated for extraction as part of their treatment has decreased considerably. Compensatory treatment aims to minimize skeletal deformities with dento-alveolar movements. This paper reports through a clinical case, the efficiency of the self-ligating system in Pattern II patient without extractions with expansionist therapeutic goals in association with the use of Class II elastics. Due to the patient’s rejection of orthognathic surgery, the compensatory treatment resulted in the camouflage of the skeletal discrepancies through the self-ligating system. Despite the surgical indication, the compensatory treatment presented significant dental movements, resulting in treatment success with considerable facial improvement. Descriptors: Angle Class II malocclusion, Orthodontics, open bite, orthodontic brackets. 1 MSc and Specialist in Orthodontics – SLMandic – Campinas/SP. 2 Undergraduate student of Dentistry – UniFTC – Vitória da Conquista/BA. 3 Specialist in Orthodontics – Infinity Ortodontia – Maceió/AL. 4 MSc in Radiology – PUCMINAS – Belo Horizonte/MG. 5 MSc and Specialist in Orthodontics – SLMandic – Campinas/SP. DOI: 10.24077/2021;1453-4855