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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:
Winter 2010
Volume 11 , Issue 4

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Correction Of A Severe Skeletal Class II Occlusion With A Fixed Functional Appliance Anchored On Mini-Implants: A Patient Report

Narayan H. Gandedkar, BDS, MDS, FCFO/Ameet V. Revankar, BDS, MDS/Sanjay V. Ganeshkar, BDS, MDS, MDORCPS

Pages: 369379
PMID: 21491004

This report describes the treatment of a patient with a severe skeletal Angle Class II occlusion with a 14-mm overjet, crowding, and protrusion of the mandibular anterior teeth. The Class II relationship was caused mainly by a short corpus of the mandible. A fixed functional appliance was directly anchored on mini-implants, which were inserted in the mandible. A significant amount of mandibular advancement was achieved, with no protrusion of the mandibular anterior teeth. Facial esthetics improved considerably. This is the first patient report to demonstrate that mini-implants can be applied to anchor fixed functional appliances. The rationale to use mini-implants with fixed functional appliances and the potential benefits of this procedure are discussed. World J Orthod 2010;11:369379.

Key words: mini-implants, fixed functional appliance, skeletal Class II, glenoid fossa, remodeling

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