Orthodontic treatment of skeletal Class II malocclusion in a patient with secondary microcephaly

Admin Dental Press

Edition V19N03 | Year 2020 | Editorial Clinical case | Pages 104 to 118

Fábio Lourenço ROMANO, Mírian Aiko Nakane MATSUMOTO, Murilo Fernando Neuppmann FERES, Maria Cristina BORSATTO, José Tarcísio Lima FERREIRA

Introduction: Orthodontic treatment of Class II malocclusion is widely acknowledged and discussed in the literature. The conditions that make treatment more or less complex depend on the particularities of each patient. The complexity of orthodontic treatment is greater in patients with special needs. Therefore, is necessity adequate treatment according to patient’s limitation. Description: The aim of this study was to report a clinical case of Class II malocclusion in a patient with secondary microcephalia, symptomatic focal epilepsy, mental health problems, speech difficulties and limitation of movement. Orthodontic treatment was performed in two stages: (1) interceptive treatment, in mixed dentition, using removable and extraoral appliances; (2) corrective treatment, in permanent dentition, using fixed appliances. Both treatments were associated with multidisciplinary interventions. Results: Treatment was regarded as adequate, considering the limitations of the case. The results demonstrated a reduction in the convexity of the skeletal profile, adequate and functional occlusion and improved facial esthetics, providing a better quality of life. Conclusion: In order to reduce total treatment time, greater precision in procedures is required to achieve the treatment goals in these patients.

Malocclusion, Angle Class II. Extraoral traction appliance. Craniofacial abnormalities. Quality of life.

Romano FL, Matsumoto MAN, Feres MFN, Borsatto MC, Ferreira JTL. Tratamento ortodôntico da má oclusão esquelética de Classe II em paciente com microcefalia secundária. Rev Clín Ortod Dental Press. 2020 Jun-Jul;19(3):104-18.

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