Treatment of irregular interdental spaces in a skeletal class II using a traditional approach: case report

Abstract

An apparently healthy 12-year-old male patient attended the clinic with the following reason for consultation: «I want to close the spaces between my teeth». Upon clinical and radiographic examination, the patient appeared symmetric, dolichocephalic, hyperdivergent with a skeletal class II malocclusion due to maxillary protrusion. The intraoral analysis revealed an Angle molar and canine class II and irregular interdental spaces in the upper central and lower anterior region as well as a deep overbite. Orthodontic treatment consisted of phase I: leveling and alignment with NiTi 0.012”, NiTi 0.014”, and NiTi 0.016” upper and lower archwires; phase II: correct the deep bite through 0.016” × 0.016” SS reverse curve archwires with CII intermaxillary elastics; phase III: closed elastomeric chain for closing the central diastema and the spaces in the lower anterior segment. Finally, phase IV, which consisted of: bracket repositioning, and fi xed upper and lower retention. Satisfactory results were obtained: facial, dental, aesthetic and functional.