Treatment of Class Ii Malocclusion with Klammt Appliance: Clinical Case Report

Téssia Richelly Nóbrega Borja de Melo, João Paz De Souza Filho, Raquel da Silva Guimarães
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Abstract

Objective: to report a clinical case of a young patient with Class II malocclusion, treated with the Klammt II Elastic Activator device, emphasizing the benefits of early treatment through Facial Jaw Orthopedics. Case Report: patient G.N.S., Class II division 1, female, caucasian, Brazilian, 10 years and 10 months old, with good oral health, mixed breathing and onychophagia, attended the teaching clinic of UNIFIP/ Brazil, for orthodontic treatment due to aesthetic dissatisfaction. After clinical evaluation and radiographic and cephalometric examinations, a Class II, division 1 malocclusion with retruded mandible was diagnosed. The Klammt II functional orthopedic appliance was prescribed, with full use, for a period of 12 months and bimonthly appointments. The evolution of the case was satisfactory, with mandibular advancement and satisfactory change in the patient's facial profile. Conclusion: it is concluded that the Klammt II open elastic activator minimized the damage caused by class II division 1 with mandibular retrognathism, redirecting the growth of the mandible in a functional way, thus generating psychological benefits and favorable aesthetics for the profile and facial proportionality.
Klammt矫治器治疗ⅱ类错牙合临床报告
目的:报告一例年轻的II类错颌患者,使用Klammt II弹性激活器治疗,强调早期通过面颌矫形治疗的益处。病例报告:患者G.N.S, II科1班,女,白种人,巴西人,10岁10个月,口腔健康状况良好,呼吸混和,有咬牙症,因美观不满意到联合国儿童基金会巴西教学诊所进行正畸治疗。经临床评估、x线及头颅测量检查,诊断为II类1科错颌后缩。使用Klammt II功能性矫形器,充分使用,为期12个月,每两个月预约一次。该病例的进展令人满意,下颌向前发展,患者面部轮廓的改变令人满意。结论:Klammt II开放式弹性激活器最大限度地减少了II类1节下颌骨后缩造成的损伤,以功能性的方式重新引导下颌骨的生长,从而产生心理上的益处,并对轮廓和面部比例产生良好的美学效果。
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