Angle Class II treatment using the PowerScope II mandibular propeller: Clinical case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i11.9446

Keywords:

Mandibular Advancement; Malocclusion; Corrective Orthodontics; Case reports.

Abstract

Angle Class II is one of the malocclusions most sought for treatment and a great challenge for the orthodontists. When patients present a mandibular deficiency still in the growth phase, functional appliances are usually chosen to correct this problem. However, in some situations, the lack of patient cooperation in using these appliances, especially removable ones, may compromise the result of the orthodontic treatment. Considering the evolution of mandibular propellers, several function models started to appear in the market, and among them is the PowerScope - a fixed hybrid propeller. Nevertheless, one of the effects expected from all propellers, either removable or fixed ones, besides dentoalveolar remodeling, is an excessive labial inclination of lower incisors. Thus, this study aimed to show the use of the PowerScope II for correcting Angle Class II in a 12-year-old patient with mandibular deficiency, brachyfacial, and with proclination of upper and lower incisors. After detailed planning, a 0.022" Roth prescription fixed appliance was selected, followed by the PowerScope II and lower bilateral miniscrews for anchorage, to contain the excessive proclination of lower incisors. At the end of treatment, the patient maintained the convex profile with the malocclusion correction by dentoalveolar compensation, achieving a satisfactory control of the inclination of lower incisors. Thus, it may be concluded that using this appliance associated with miniscrews for anchorage allows a conservative approach in Class II treatments.

References

Campos, F. L., Vazquez, F. D. L., Cortellazzi, K. L., Guerra, L. M., Ambrosano, G. M. B., Meneghim, M. D. C., & Pereira, A. C. (2013). Maloclusión y su asociación con variables socioeconómicas, hábitos y cuidados en niños de cinco años. Revista de Odontologia da UNESP, 42(3), 160-166.

Celikoglu, M., Unal, T., Bayram, M., & Candirli, C. (2014). Treatment of a skeletal Class II malocclusion using fixed functional appliance with miniplate anchorage. European journal of dentistry, 8(2), 276–280.

D'Antò, V., Bucci, R., Franchi, L., Rongo, R., Michelotti, A., & Martina, R. (2015). Class II functional orthopaedic treatment: A systematic review of systematic reviews. Journal of Oral Rehabilitation, 42(8), 624-642.

DeVincenzo, J. P. (1991). Changes in mandibular length before, during, and after successful orthopedic correction of Class II malocclusions, using a functional appliance. American Journal of Orthodontics and Dentofacial Orthopedics, 99(3), 241–257.

Dr. Prateek, D. S. a. D. S. (2017). Fixed functional appliances: an overview. International Journal Of Current Research, 9, 47407-47414.

Gimenez, C., Bertoz, A., Bertoz, F., Vedovello Filho, M., & Tubel, C. (2010). Jounal of Health Science, 12(3), 5-10.

Henriques, R. (2017). Efeitos dentoesqueléticos do aparelho de protração mandibular (apm) no tratamento da má oclusão de Classe II Divisão 1a. Revista FAIPE, 1(1), 6-28.

Li, Larry Ching Fan, & Wong, Ricky Wing-Kit. (2011). Tratamento de más oclusões de Classe II graves com aparelhos funcionais removíveis e ortodônticos sequenciais: um caso para a avaliação do MOrthRCSEd. Dental Press Journal of Orthodontics, 16(5), 1-11.

Lund, D. I., & Sandler, P. J. (1998). The effects of Twin Blocks: A prospective controlled study. American Journal of Orthodontics and Dentofacial Orthopedics, 113(1), 104–110.

Luzi, C., & Luzi, V. (2013). Traitement de la classe II squelettique au moyen d'un appareil de Herbst à ancrage osseux [Skeletal Class II treatment with the miniscrew-anchored Herbst]. L' Orthodontie francaise, 84(4), 307–318.

Upadhyay, M., Yadav, S., Nagaraj, K., Uribe, F., & Nanda, R. (2012). Mini-implants vs fixed functional appliances for treatment of young adult Class II female patients: a prospective clinical trial. The Angle orthodontist, 82(2), 294–303.

McLain, J. B., & Proffitt, W. R. (1985). Oral health status in the United States: prevalence of malocclusion. Journal of dental education, 49(6), 386-397.

Moro, A., Borges, S. W., Farah, L. O., Perez, R. R. H., Nascimento, L. C., & Correr Nolasco, G. M. (2015). Simplified correction of Class II with mandibular propellant PowerScope. 8(31), 252-258.

Ngan, P. W., Byczek, E., & Scheick, J. (1997). Longitudinal evaluation of growth changes in Class II division 1 subjects. Seminars in orthodontics, 3(4), 222–231.

Organização Mundial de, S. (2013). Levantamentos em Saúde Bucal: Métodos Básicos.

Paulose, J., Antony, P. J., Sureshkumar, B., George, S. M., Mathew, M. M., & Sebastian, J. (2016). PowerScope a Class II corrector - A case report. Contemporary Clinical Dentistry, 7(2), 221-225.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. Santa Maria: UAB/NTE/UFSM.

Riley, D. S., Barber, M. S., Kienle, G. S., Aronson, J. K., von Schoen-Angerer, T., Tugwell, P., Kiene, H., Helfand, M., Altman, D. G., Sox, H., Werthmann, P. G., Moher, D., Rison, R. A., Shamseer, L., Koch, C. A., Sun, G. H., Hanaway, P., Sudak, N. L., Kaszkin-Bettag, M., Carpenter, J. E., Gagnier, J. J. (2017). CARE guidelines for case reports: explanation and elaboration document. Journal of clinical epidemiology, 89, 218–235.

Silva Filho, Omar Gabriel da, Capelozza Filho, Leopoldino, Crosara, Karla Tonelli Bicalho, & Ozawa, Terumi Okada. (2007). Avaliação cefalométrica dos efeitos do aparelho Herbst no tratamento da deficiência mandibular na dentadura permanente. Revista Dental Press de Ortodontia e Ortopedia Facial, 12(6), 101-118.

Singaraju, G., Vannala, V., Ankisetti, S., Mandava, P., Ganugapanta, V., & Unnam, D. (2019). Evaluation of sagittal changes in Class II Div 2 patients with decelerating phase of growth by PowerScope appliance: A retrospective cephalometric investigation. Journal of Pharmacy And Bioallied Sciences, 11(6), 208-215.

Souza, C. C., Coura, P. E., Coura, L. C., & Oliveira, S. S. D. (2016). Prevalência de maloclusão Classe I , II e III de Angle em um Curso de Especialização em Ortodontia da Cidade de Anápolis. Scientific Investigation in Dentistry, 21(1), 29-33.

Vazquez, F., Cortellazzi, K. L., Kaieda, A. K., Guerra, L. M., Ambrosano, G. M., Tagliaferro, E. P., Mialhe, F. L., Meneghim, M., & Pereira, A. C. (2015). Quality of life and socio-dental impact among underprivileged Brazilian adolescents. Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation, 24(3), 661–669.

Vezina, J.-P., Blumen, M. B., Buchet, I., Hausser-Hauw, C., & Chabolle, F. (2011). Does Propulsion Mechanism Influence the Long-term Side Effects of Oral Appliances in the Treatment of Sleep-Disordered Breathing? Chest, 140(5), 1184–1191.

Villela, H. M., Carla, A., & Nascimento, D. S. (2019). Tratamento da Classe II-1 subdivisão , utilizando miniparafuso extra-alveolar no izc e aparelhos autoligáveis passivos – relato de caso Class ii-1 subdivision treatment using extra-alveolar mini screw in izc and passive self-ligating brackets – case repor. 12(47), 73-84.

World Health, O. (1989). Health Through Oral Health; Guidelines for Planning and Monitoring for Oral Health Care. Journal of Public Health Dentistry.

Published

08/11/2020

How to Cite

Meros, G. C. ., Machado, L. de S. ., Inocêncio, G. S. G. ., Souza, . G. O. C. N. de ., Nascimento, C. T. de J. S. ., & Paranhos, L. R. (2020). Angle Class II treatment using the PowerScope II mandibular propeller: Clinical case report. Research, Society and Development, 9(11), e1719119446. https://doi.org/10.33448/rsd-v9i11.9446

Issue

Section

Health Sciences