Aesthetic and functional rehabilitation of missing teeth in growing patients with mini-implants: a contemporary approach

Growing patients with missing teeth in aesthetically prominent areas pose a challenge in restoration of the same. Fracture of anterior teeth in these age groups is very common and often requires removal of the affected tooth. After the decision to maintain the space in the dental arch is made, some other factors have to be borne in mind before restoration of the space. Continuing growth of the alveolar bones, questionable cooperation of the patient and aesthetics are deciding factors that may limit the treatment options. The effective use of mini-implants for space preservation, alveolar bone width maintenance and aesthetics represents an elective way of successfully treating such cases. The aim of this article is to describe as well as highlight the advantages and ease of the procedure with the help of two clinical cases

Correction of an adult Class II division 2 individual using fixed functional appliance: A noncompliance approach

This case report describes the application of fixed functional appliance in the treatment of an adult female having Class II division 2 malocclusion with retroclination of upper incisors. Fixed functional appliance was used to correct the overjet after the uprighting of upper incisors. Fixed functional appliance was fitted on a rigid rectangular arch wire. Application of fixed functional appliance achieved a good Class I molar relationship along with Class I canine relationship with normal overjet and overbite. Fixed functional appliance is effective in the treatment of Class II malocclusions, even in adult patients, and can serve as an alternate choice of treatment instead of orthognathic surgery. This is a case; wherein, fixed functional appliance was successfully used to relieve deep bite and overjet that was ensued after leveling and aligning. We demonstrate that fixed functional appliance can act as a “noncompliant corrector” and use of Class II elastics can be avoided