Treatment of super Class II with wide overjet: functional, aesthetic and psychological harmonization.
This is a 13 years old female patient.
Diagnosis:
- Thumb sucking
- Class II subdivision
- Super overjet of 10 mm with aesthetic and psychological disfavor.
- Agenesis of 45
Protocol of treatment:
- Stop thumb sucking: the patient was motivated and stopped few days later
- 4D Harmonization by PUL appliance containing expansion screw and anterior elastic on the upper splint. It is worn 22H/24H.
- 9 months after, we have a simple Class 1. It is the beginning of 2nd phase: self-ligating low friction system.
Photos 12 to 17 show the comparison between before and after the action of PUL concept.
- What do you think about this case?
- And the psychological effect of the first phase?
- What are the other options of treatment?
Les auteurs déclarent ne pas avoir de lien d'intéret.
