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Quintessence Publishing: Journals: ORTHODONTICS
ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Publication:
Spring 2002
Volume 3 , Issue 1

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Two-Stage Treatment of a Class II, Division 1 Malocclusion with Excessivce Vertical Dimension

Lloyd E. Pearson, DDS, MSD, Bradley L. Pearson, DDS, MS

Pages: 1926

Aim: To illustrate the importance of treatment timing and the positive effect of applying sound biomechanic principles in a patient with a difficult skeletal pattern. Methods: A female patient, 9 years of age, with a skeletal Class II, Division 1 malocclusion and a long lower face is presented. Mandibular growth was guided in a horizontal direction with a monobloc that reduced the vertical growth potential. The maxillary incisors were intruded 4.5 mm during the second stage of treatment, and the maxilla was widened using rapid palatal expansion. Full fixed appliances were used and forces were applied to control the vertical dimension. Results: A Class I occlusion was achieved. The patient showed less gingiva when smiling and the vertical dimension was controlled. World J Orthod 2002;3:1926.

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