Fifteen months of treatment with Tip-Edge system of a class II division 1 malocclusion, open bite and severe crowding. Case report

Abstract

Nowadays, aesthetic demands are of interest to individuals. Smile is the gateway to human and labor relations, which is why so much importance is given to the care and dental alignment as well as facial harmony. The class II, Division 1 malocclusion is one of the greatest causes of facial disharmony generating a negative psychological impact on people and requires longer treatment periods. Etiology is due to a combination of skeletal, dental and extrinsic factors. This case describes the treatment of a 13-yearsold female patient diagnosed with a class II division 1 malocclusion with a 7 mm overjet, open bite, tongue thrust, severe crowding and facial disharmony. Treatment goals were to achieve dental and facial harmony in the shortest time possible. The treatment lasted for 15 months and was based on the extraction of upper and lower first bicuspids and placement of Tip-Edge appliances. A molar and canine Class I relationship was obtained, ideal overjet and overbite were established and cosmetic results were satisfactory and significant for the patient. These changes generate greater emotional security in themselves.Key words: Class II malocclusion, open bite, tongue thrust, facial disharmony.