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
Recommended Citation
Li, C., Sfogliano, L., Jiiang, W., Lee, H., Zheng, Z., Chung, C., & Jones, J. (2021). Total Maxillary Arch Distalization by Using Headgear in an Adult Patient: Reconsidering the Traditional Strategy in Modern Orthodontics. Angle Orthodontist, 91 (2), 267-278. http://dx.doi.org/10.2319/010320-857.1
Date Posted: 09 February 2023
This document has been peer reviewed.