The methods employed to rectify the skeletal Class II malocclusion in the patient presented were selective alveolar decortication and periodontal augmentation with a bone graft. A 25-year-old male patient presented with a skeletal Class II malocclusion, which included increased bi-maxillary dentoalveolar protrusion, increased overjet, deep bite, and imbricated and rotated mandibular incisors, as well as the presence of supernumerary teeth in the maxillary right and left premolar regions on both sides. The affected UL5 as well as the supernumerary tooth in the maxillary right and left premolar region were extracted. Roth's prescription (0.022 x 0.028-inch slot) was strapped up in a pre-adjusted edgewise appliance, and full thickness labial and lingual flaps were reflected in the maxillary and mandibular arches a week later. Circumscribed corticotomy slices were made, and a bone transplant was used to fill in the gaps. Orthodontic treatment began right after surgery, and orthodontic modifications were made every two weeks. The full orthodontic procedure took 9 months to finish. The major goal of this study was to see if selective alveolar decortication may speed up orthodontic tooth movement and shorten treatment time. Regional acceleratory phenomenon, caused by alveolar decortication, was found to be responsible for the quick correction of the malocclusion, and augmentation with a bone transplant supplied additional bone volume for housing the teeth. This combined technique may help to reduce the chances of the dreaded relapse.
Author(S) Details
A. Arif Yezdani
Department of Orthodontics and Dentofacial Orthopedics, Bharath Institute of Higher Education and Research, Sree Balaji Dental College and Hospital, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, India.
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