Arias-Atoya LO, Mas-Galác FW

Language: Spanish
References: 25
Page: 88-98
PDF size: 467.40 Kb.

ABSTRACT

This paper reports the treatment of a 16-year-old male patient, who had mesofacial face type, class II skeletal pattern with maxillary protrusion, and convex facial profile. The patient presented class II molar and canine relationships with upper and lower anterior crowding, lower midline deviated 1mm to the right and medium gingival biotype. A fixed orthodontic treatment associated with maxillary disjunction was performedusing bone anchorage and molar distalization with distal jet and second upper molar extractions. An adequate sagittal relationship was obtained between posterior teeth and stable occlusion was also obtained for anterior teeth. In addition, the upper third molars descended and replaced the extracted molars. This type of therapy requiring the atypical extraction of second molars should be considered only in those cases in which the upper third molar is found in an ideal position for its eruption and the coronal and root anatomy is adequate.

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