Treatment of a Class II malocclusion with Forsus appliance associated with traction of an impacted mandibular canine due to odontoma – a case report

Vol. 16 – Number 63 – 2023 Case report Page 64-73 Treatment of a Class II malocclusion with Forsus appliance associated with traction of an impacted mandibular canine due to odontoma – a case report Ana Amélia Bonissoni¹ Daniela Bezerra de Menezes Borba¹ Tiago Fialho¹ Fabrício Pinelli Valarelli¹ Karina Freitas¹ Paula Cotrin¹ Abstract The objective of this case report is to present the treatment of a patient with Class II malocclusion with a Forsus fixed appliance associated with the traction of an impacted mandibular canine due to an odontoma. After clinical and radiographic examination, prolonged right primary mandibular canine retention was detected. In addition, the mandibular canine was impacted due to the presence of this odontoma. Clinical analysis also showed that the patient had a Class II malocclusion. After the extraction of the primary canine and excision of the odontoma, an orthodontic accessory was bonded to the impacted canine, and the fixed appliance was placed. Initially, an APM (mandibular protractor appliance) was planned due to its low cost. However, the patient did not cooperate with its use, and a Forsus was placed. At the end of 48 months, the right mandibular canine reached the occlusal plane, and the Class II malocclusion was corrected. Descriptors: Malocclusion Angle Class II, mandibular advancement, odontoma, tooth impacted. ¹ Masters in Orthodontics – Centro Universitário Ingá. DOI: 10.24077/2023;1663-02629172