Treatment of a Class II Division 2 Patient with Severe Skeletal Discrepancy by Using a Custom Made TPA Proclination Spring

TODENTJ-25-03-2019_TODENTJ-7-109 1553505475 Bentham Open doi@benthamopen.net Bentham Open The Open Dentistry Journal TODENTJ 1874-2106 9 20 2013 7 1 Treatment of a Class II Division 2 Patient with Severe Skeletal Discrepancy by Using a Custom Made TPA Proclination Spring Sergio Paduano Gianrico Spagnuolo Giuseppe di Biase Iacopo Cioffi This case report describes the orthodontic treatment of a boy, aged 15.3 years, with permanent dentition, mesofacial typology, affected with a severe sagittal skeletal Class II division 2 malocclusion, due to a mandibular retrusion. His chief compliant was the position of the maxillary incisors, displaced too palatally, and an impaired facial profile. Herbst and multi-bracket straightwire fixed appliances, together with a custom made modified transpalatal arch (i.e. TPA proclination spring), were used to correct the sagittal discrepancy and to improve the attractiveness of the impaired facial profile. 9 20 2013 109 117 TODENTJ-7-109 1 10.2174/crossmark_policy opendentistryjournal.com benthamopen.com true Peer Reviewed Single blind Checked with iThenticate 2013-5-12 2013-6-25 2013-7-19 2013-9-20 http://creativecommons.org/licenses/by-nc/3.0/ 10.2174/1874210620130807002 1553505475 https://opendentistryjournal.com/VOLUME/7/PAGE/109/ https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-109/TODENTJ-7-109.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-109/TODENTJ-7-109.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-109/TODENTJ-7-109.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-109/TODENTJ-7-109.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-109/TODENTJ-7-109.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-109/TODENTJ-7-109.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-109/TODENTJ-7-109.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-109/TODENTJ-7-109.xml Orthod Craniofac Res Martina R 16 116 2013 Martina R, Cioffi I, Galeotti A, et al. Efficacy of the Sander bite-jumping appliance in growing patients with mandibular retrusion: a randomized controlled trial Orthod Craniofac Res 2013; 16 : 116-26. Orthod Craniofac Res Shen G 8 2 2005 Shen G, Hägg U, Darendeliler M. Skeletal effects of bite jumping therapy on the mandible - removable vs. fixed functional appliances Orthod Craniofac Res 2005; 8 : 2-10. J Orofac Orthop Vu J 73 225 2012 Vu J, Pancherz H, Schwestka-Polly R, Wiechmann D. Correction of Class II, Division 2 malocclusions using a completely customized lingual appliance and the Herbst device J Orofac Orthop 2012; 73 : 225-35. Angle Orthod Erickson LP 55 215 1985 Erickson LP, Hunter WS. Class II, division 2 treatment and mandibular growth Angle Orthod 1985; 55 : 215-4. Fraenkel R, Fraenkel C. Orofacial orthopedics with the function regulator. Basel: Karger 1989. Prog Orthod Paduano S 10 92 2009 Paduano S. European board of orthodontics case report: severe skeletal discrepancy Prog Orthod 2009; 10 : 92-101. J Craniomandib Disord Dworkin SF 6 301 1992 Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique J Craniomandib Disord 1992; 6 : 301-55. Eur J Orthod Iodice G 2013 Iodice G, Danzi G, Cimino R, Paduano S, Michelotti A. Association between posterior crossbite, masticatory muscle pain, and disc displacement: a systematic review Eur J Orthod 2013. [Epub ahead of print] J Oral Rehabil Michelotti A 37 157 2010 Michelotti A, Cioffi I, Festa P, Scala G, Farella M. Oral parafunctions as risk factors for diagnostic TMD subgroups J Oral Rehabil 2010; 37 : 157-62. Prog Orthod Paduano S 9 74 2008 Paduano S, Cioffi I, Iodice G, Rapuano A, Silva R. Time efficiency of self-ligating vs conventional brackets in orthodontics: effect of appliances and ligating systems Prog Orthod 2008; 9 : 74-80. Quintessence Int Cioffi I 43 61 2012 Cioffi I, Piccolo A, Tagliaferri R, Paduano S, Galeotti A, Martina R. Pain perception following first orthodontic archwire placement--thermoelastic vs superelastic alloys: a randomized controlled trial Quintessence Int 2012; 43 : 61-9. J Clin Orthod Martina R 31 750 1997 Martina R, Paduano S. The Translation Arch J Clin Orthod 1997; 31 : 750-3.