

Dentoalveolar compensation of mandibular retrognathia in adult patients (a clinical case)
Abstract
This article describes a case report of the patient with mandibular retrognathia, class II malocclusion, deep bite, constriction and deformation of dental arches, and retrusion of upper incisors. Due to the patient’s refusal to undergo the orthognathic surgery, after complex diagnostics, it was decided to carry out the orthodontic dentoalveolar compensation. The combined use of the functional fi xed telescopic appliance (FFTA), bracket system and orthodontic miniscrews made it possible to effectively normalise the mandibular position, achieve orthognathic occlusion, normalise the incisors’ proclination and improve the face profi le. This method signifi cantly reduces the invasiveness and duration of orthodontic treatment.
About the Authors
F. F. LosevRussian Federation
Moscow
N. V. Popova
Russian Federation
Moscow
O. I. Arsenina
Russian Federation
Moscow
N. V. Glukhova
Russian Federation
Moscow
References
1. Арсенина О.И. Ортодонтическое лечение пациентов с нижней ретрогнатией и дисфункцией височно-нижнечелюстного сустава. М. 2019.
2. Персин Л.С. Ортодонтия : Учебник. М.: ГЭОТАР-Медиа. 2015.
3. Попова Н.В., Арсенина О.И., Махортова П.И. Пределы и возможности ортодонтического лечения пациентов со скелетными формами сагиттальных аномалий (клинический случай). Ортодонтия. 2019;1(85):52-60.
4. Хорошилкина Ф.Я., Персин Л.С., Окушко-Калашникова В.П. Ортодонтия. Профилактика и лечение функциональных, морфологических и эстететических нарушений в зубоччелюстно-лицевой области. М. 2005.
5. Bell W.H., Jacobs J.D. Surgical-orthodontic correction of horizontal maxillary defi ciency. J Oral Surg. 1979;37:897-902.
6. Chaiyongsirisern A., Rabie A.B., Wong R.W. Stepwise advancement Herbst appliance versus mandibular sagittal split osteotomy. Treatment effects and long-term stability of adult class II patients. Angle Orthod. 2009;79:1084-1094.
7. Dimberg L., Arnrup K., Bondemark L. The impact of malocclusion on the quality of life among children and adolescents : a systematic review of quantitative studies. Eur J Orthod. 2015;37:238-247.
8. Kabbur K.J., Hemanth M., Patil G.S., Sathya-deep V., Shamnur N., Harieesha K.B., Praveen G.R. An esthetic treatment outcome of orthognathic surgery and dentofacial orthopedics in class II treatment: a cephalometric study. J Contemp Dent Pract. 2012;13:602-606.
9. Kinzinger G., Frye L., Diedrich P. Class II treatment in adults: comparing camoufl age orthodontics, dentofacial orthopedics and orthognathic surgery — a cephalometric study to evaluate various therapeutic effects. J Orofac Orthop. 2009;70:63-91.
10. McNamara JR JA. Components of Class II malocclusion in children 8-10 years of age. Angle Orthod. 1981;51:177-202.
11. Phillips C., Griffin T., Bennett E. Perception of facial attractiveness by patients, peers, and professionals. Int J Adult Orthodontics and Orthognathic Surgery. 1995;10:127-135.
12. Raposo R., Peleteiro B., Paç o M., Pinho T. Orthodontic camoufl age versus orthodontic-orthognathic surgical treatment in class II malocclusion: a systematic review and meta-analysis. Int J Oral and Maxillofacial Surg. 2018;47(4):445-455.
13. Ruf S., Pancherz H. Orthognathic surgery and dentofacial orthopedics in adult class II division 1 treatment: mandibular sagittal split osteotomy versus Herbst appliance. Am J Orthod Dentofac Orthop. 2004;126:140-152.
Review
For citations:
Losev F.F., Popova N.V., Arsenina O.I., Glukhova N.V. Dentoalveolar compensation of mandibular retrognathia in adult patients (a clinical case). Orthodontia. 2022;(1):49-55. (In Russ.)