Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Oct 18, 2024; 15(10): 965-972
Published online Oct 18, 2024. doi: 10.5312/wjo.v15.i10.965
Simple and effective method for treating severe adult skeletal class II malocclusion: A case report
Li-Li Xie, Dan-Yang Chu, Xiao-Feng Wu
Li-Li Xie, Dan-Yang Chu, Department of Stomatology, Hebei General Hospital, Shijiazhuang 050057, Hebei Province, China
Xiao-Feng Wu, Chengde Medical University, Chengde 067000, Hebei Province, China
Author contributions: Xie LL designed the study; Xie LL and Chu DY conducted the studies; Chu DY and Wu XF analyzed the data and wrote the manuscript; all the authors have read and approved the final manuscript.
Supported by Medical Science Research Project Plan by Health Commission of the Hebei Province, No. 20220063.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Li Xie, MS, Associate Professor, Department of Stomatology, Hebei General Hospital, No. 348 West Peace Road, Shijiazhuang 050057, Hebei Province, China. 1017690048@qq.com
Received: March 13, 2024
Revised: September 12, 2024
Accepted: September 20, 2024
Published online: October 18, 2024
Processing time: 212 Days and 0.1 Hours
Abstract
BACKGROUND

Severe skeletal class II malocclusion is the indication for combined orthodontic and orthognathic treatment.

CASE SUMMARY

A woman with a chief complaint of a protruding chin and an inability to close her lips requested orthodontic camouflage. The treatment plan consisted of extracting the right upper third molar, right lower third molar, left lower second molar, and left upper third molar and moving the maxillary dentition distally using a convenient method involving microimplant nail anchors, push springs, long arm traction hooks, and elastic traction chains. After 52 months of treatment, her overbite and overjet were normal, and her facial profile was favorable.

CONCLUSION

This method can be used for distal movement of the maxillary dentition and to correct severe skeletal class II malocclusion in adults.

Keywords: Skeletal class II malocclusion; Maxillary dentition; Microimplant nail; Simple and effective method; Case report

Core Tip: Severe skeletal class II malocclusion in adults can be effectively corrected using a method involving distal movement of the maxillary dentition using microimplant nail anchors, push springs, long-arm traction hooks, and elastic traction chains. After 52 months of treatment with this approach, the patient’s overbite and overjet were normal, and her facial profile improved.