Early treatment: A Class II division 2: functional treatment
The definition of functional appliance is to help patient “functionning” well all day and night. It has to be worn at least 22h/24H and must harmonize all the functions: nasal breathing, deglutition and chewing. It has to improve patient’s aesthetic and psychological self confidence.
This is the case of 8 year old male patient who presents a Class II division 2.
We had two options: treat or wait for permanent teeth.
After explaining to the patient and his parent the benefit of early treatment we prescribe a PUL appliance with upper 3D expansion screw.
After 12 months we obtain a 4D harmonization: functional, sagittal, transverse and vertical.
The PUL appliance is worn now at night only, until the evolution of permanent teeth.
- What do you think about this case?
- Did you treat it or did you wait for permanent teeth?
- What kind of appliance would you use?