Can Angle's type II malocclusion be treated with the exclusive use of a Bull-type retraction loop? Clinical case report
DOI:
https://doi.org/10.33448/rsd-v10i4.14107Keywords:
Tooth Movement; Orthodontics; Orthodontic Anchorage Procedures; Angle Classe II; Malocclusion.Abstract
Angle Class II malocclusion is characterized by an anteroposterior dental discrepancy, which is usually accompanied by skeletal changes. The late orthodontic treatment allows the correction of this malocclusion with the need for tooth extractions. This report presents an Angle class II treatment option with the use of a retraction loop of the Bull type, addressing the advantages of the technique and establishing its effectiveness. Male patient, with a convex facial profile was diagnosed with Angle class II. The treatment started with conventional orthodontic brackets, and placement of a modified anterior lift plate with transpalatal bar. Subsequently, extraction of the first maxillary premolars was performed and the anterior segment was retracted using the Bull Loop retraction loop until the spaces were closed, and canine angulation in class I was achieve, in addition to good occlusal stabilization. Finally, a 3x3 fixed retainer and superior removable braces were installed to preserve the achieved dental positions. The patient presented satisfactory results, with all guides and functions restored, in addition to a harmonic profile, thus showing the effectiveness of the approached technique.
References
Angle, Edward H. (1928). The Latest and Best in Orthodontic Mechanism. The Dental cosmos, 70(12), 1143-58.
Araújo, T. M., & Caldas, L. D. (2019). Tooth extractions in Orthodontics: first or second premolars?. Dental press journal of orthodontics, 24(3), 88–98. https://doi.org/10.1590/2177-6709.24.3.088-098.bbo
Bartsch A, Witt E, Dietz I, Dietz P. (1993). The clinical and psychological indicators of behavior in wearing a removable appliance. Fortschritte der Kieferorthopadie, 54(3), 119-128. DOI: 10.1007/bf02409021
Bishara, S. E., Cummins, D. M., & Jakobsen, J. R. (1995). The morphologic basis for the extraction decision in Class II, division 1 malocclusions: a comparative study. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 107(2), 129–135. https://doi.org/10.1016/s0889-5406(95)70127-3
Bull HL. (1951) Obtaining facial balance in the treatment of Class II, division 1. Angle Orthod. Appleton, 21(3), 139-149.
Dewel BF. (1955). Second premolar extraction in orthodontics : principles procedures and case analysis. Am J Orthod, 41(2), 107-20.
Draker HL. (1960). Handicapping labio-lingual deviations: A proposed index for public health purposes. American Journal of Orthodontics, 46(4), 295-305. https://doi.org/10.1016/0002-9416(60)90197-4
Ferreira MA, Ignácio AS, Luersen MA, Borges PC. (2004). Efeito da secção transversal num protótipo de alça de retração ortodôntica de geometria complexa pelo método dos elementos finitos. Rev. de Clín. Pesq. Odontol., 1 (2).
Ferreira, M., de Oliveira, F. T., Ignácio, S. A., & Borges, P. C. (2005). Experimental force definition system for a new orthodontic retraction spring. The Angle orthodontist, 75(3), 368–377. https://doi.org/10.1043/0003-3219(2005)75[368:EFDSFA]2.0.CO;2
Ferreira, Marcelo do Amaral, Borges, Paulo César, & Luersen, Marco Antônio. (2008). Alguns aspectos da mecânica das alças de retração ortodôntica. Revista Dental Press de Ortodontia e Ortopedia Facial, 13(3), 112-123. https://doi.org/10.1590/S1415-54192008000300014
Fryar GM. (1960). Load deflection determinations of specific wire configurations. Indiana: Indiana University.
Janson, G., Brambilla, A., Henriques, J. F., de Freitas, M. R., & Neves, L. S. (2004). Class II treatment success rate in 2- and 4-premolar extraction protocols. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 125(4), 472–479. https://doi.org/10.1016/j.ajodo.2003.04.013
Jasper, J. J., & McNamara, J. A., Jr (1995). The correction of interarch malocclusions using a fixed force module. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 108(6), 641–650. https://doi.org/10.1016/s0889-5406(95)70010-2
Kapila, S., & Sachdeva, R. (1989). Mechanical properties and clinical applications of orthodontic wires. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 96(2), 100–109. https://doi.org/10.1016/0889-5406(89)90251-5
Kuroda, S., Yamada, K., Deguchi, T., Kyung, H. M., & Takano-Yamamoto, T. (2009). Class II malocclusion treated with miniscrew anchorage: comparison with traditional orthodontic mechanics outcomes. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 135(3), 302–309. https://doi.org/10.1016/j.ajodo.2007.03.038
Monini, André da Costa, Gandini Júnior, Luiz Gonzaga, Santos-Pinto, Ary dos, Maia, Luiz Guilherme Martins, & Rodrigues, Willian Caetano. (2013). Procedures adopted by orthodontists for space closure and anchorage control. Dental Press Journal of Orthodontics, 18(6), 86-92. https://dx.doi.org/10.1590/S2176-94512013000600013
Nanda, R. S., & Kierl, M. J. (1992). Prediction of cooperation in orthodontic treatment. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 102(1), 15–21. https://doi.org/10.1016/0889-5406(92)70010-8
Ribeiro, Gerson Luiz Ulema, & Jacob, Helder B. (2016). Understanding the basis of space closure in Orthodontics for a more efficient orthodontic treatment. Dental Press Journal of Orthodontics, 21(2), 115-125. https://doi.org/10.1590/2177-6709.21.2.115-125.sar
Ruellas, Antônio & Ruellas, Ricardo & Romano, Fábio & Pithon, Matheus & Lacerda-Santos, Rogério. (2010). Extrações dentárias em Ortodontia: avaliação de elementos de diagnóstico. Dental Press Journal of Orthodontics. 15. 10.1590/S2176-94512010000300017.
Sadek, M. M., Sabet, N. E., & Hassan, I. T. (2019). Type of tooth movement during en masse retraction of the maxillary anterior teeth using labial versus lingual biocreative therapy in adults: A randomized clinical trial. Korean journal of orthodontics, 49(6), 381–392. https://doi.org/10.4041/kjod.2019.49.6.381
Sanjay, N., Rajesh, R. N., Scindia, R., & Ajith, S. D. (2015). Space closure with loop mechanics for treatment of bimaxillary protrusion: a case report. Journal of international oral health : JIOH, 7(5), 65–67.
Shimizu RH, Sakima T, Pinto AS, Shimizu IA. (2002) Desempenho biomecânico da alça em "T" construída com fio de aço-inoxidável, durante o fechamento de espaços no tratamento ortodôntico. Rev Dental Press Ortod Ortop Facial, 7(6), 49-61.
Silva Filho, Omar Gabriel da; Freitas, Simone Fonseca de; Cavassan, Arlete de Oliveira. (1990). Prevalência de oclusão normal e má oclusão em escolares da Cidade de Bauru (São Paulo). Parte I: relação sagital. Rev. Odontol. Univ. São Paulo, 4 (2), 130-7.
Souza RS, Pinto AS, Shimizu RH, Sakima MT, Gandini Jr LG. (2003). Avaliação do sistema de forças gerado pela alça T de retração pré-ativada segundo o padrão UNESP - Araraquara. Rev Dental Press Ortod Ortop Facial, 8(5):113-22.
Vaden, J. L., Williams, R. A., & Goforth, R. L. (2018). Class II correction: Extraction or nonextraction?. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 154(6), 860–876. https://doi.org/10.1016/j.ajodo.2018.06.010
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Kim Henderson Carmo Ribeiro; Juliana de Aguiar Silveira Meira; Ana Paula Simões Corrêa; Mariza Akemi Matsumoto; Evandro da Silva Bronzi; Juan Miguel Antezana Vera
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.