Departmental Papers (Dental)

Document Type

Journal Article

Date of this Version

3-2021

Publication Source

Angle Orthodontist

Volume

91

Issue

2

Start Page

267

Last Page

278

DOI

10.2319/010320-857.1

Abstract

Although headgear is rarely used in adult patients, its use in adults is mainly for anchorage control. In the current case report, a 24-year-old patient had a skeletal Class I relationship with a Class II tendency, brachyfacial pattern, significant facial asymmetry, and dental 3/4 cusp Class II molar and canine relationships on both sides. The patient declined surgery, and facial asymmetry was not his concern. The final treatment goal was to achieve a stable Class I dental relationship and normal occlusion without significantly compromising the patient's profile. The patient was compliant with the use of cervical-pull headgear after he refused the options of orthodontic-orthognathic combined treatment, maxillary premolar extraction, or temporary skeletal anchorage mini-implants. A 5-mm maxillary arch distal movement was accomplished without significant distal tipping of the molar crowns. The active treatment duration was 31 months. Proper overbite and overjet, balanced occlusion, and an acceptable facial profile were achieved. The treatment results inspire reconsideration of the possibility of using headgear in dental Class II correction in adult patients. (Angle Orthod. 2021;91:267-278). © 2021 Allen Press Inc.. All rights reserved.

Keywords

Adult, Distalization, Headgear, Adult, Cephalometry, Humans, Male, Malocclusion, Angle Class II, Maxilla, Orthodontic Anchorage Procedures, Tooth Movement Techniques, Young Adult, adult, case report, cephalometry, diagnostic imaging, human, male, malocclusion, maxilla, orthodontic anchorage, orthodontic tooth movement, surgery, young adult

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Date Posted: 09 February 2023

This document has been peer reviewed.