Orthodontic treatment of class II division 2 malocclusion is recognized as being difficult to treat and susceptible to recurrence, especially if compli-cated by other anomalies such as canine retention. This case report de-scribes the particularities of the therapeutic management of class II divi-sion 2 malocclusion associated with maxillary canine retention. A 21 years old female patient complained about her gummy smile and the absence of the right maxillary canine with the persistence of the deciduous canine. The orthodontic management of the current case consisted of a treatment without premolar extraction with class II mechanics and traction of the re-tained canine. Successful mechanical management led to the improvement of the patient’s facial and smile aesthetics with the placement of the re-tained canine in its correct position on the arch as well as the restoration of normal skeletal and dental relationships.
Cite this paper
Sahim, S. S. , Majid, A. , Alami, S. and Quars, F. E. (2024). Management of Class II Division 2 Malocclusion with Maxillary Canine Retention. Open Access Library Journal, 11, e1482. doi: http://dx.doi.org/10.4236/oalib.1111482.
Tehranchi, A., Behnia, H., Younessian, F., Hadadpour, S., Tehranchi, A., Behnia, H., Younessian, F. and Hadadpour, S. (2016) Advances in Management of Class II Malocclusions. In: Motamedi, M.H.K., Ed., A Textbook of Advanced Oral and Maxillofacial Surgery, Vol. 3, IntechOpen. https://doi.org/10.5772/63348
Pereira, P.M., Ferreira, A.P., Tavares, P. and Braga, A.C. (2013) Different Manifestations of Class II Division 2 Incisor Retroclination and Their Association with Dental Anomalies. Journal of Orthodontics, 40, 299-306. https://doi.org/10.1179/1465313313Y.0000000067
Chen, Y.-J., Yao, C.-C.J. and Chang, H.-F. (2004) Nonsurgical Correction of Skeletal Deep Overbite and Class II Division 2 Malocclusion in an Adult Patient. American Journal of Orthodontics and Dentofacial Orthopedics, 126, 371-378. https://doi.org/10.1016/j.ajodo.2004.01.018
Litsas, G. and Acar, A. (2011) A Review of Early Displaced Maxillary Canines: Etiology, Diagnosis and Interceptive Treatment. The Open Dentistry Journal, 5, 39. https://doi.org/10.2174/1874210601105010039
Power, S.M. and Short, M.B. (1993) An Investigation into the Response of Palatally Displaced Canines to the Removal of Deciduous Canines and an Assessment of Factors Contributing to Favourable Eruption. British Journal of Orthodontics, 20, 215-223. https://doi.org/10.1179/bjo.20.3.215
Al Balbeesi, H.O., Al Kawari, H.M., Al Tamimi, A.S., Al Mubarak, I., Al Ibrahim, K.I. and Divakar, D.D. (2020) Association between Canine Impaction and Skeletal Pattern in the Sagittal and Vertical Planes. The International Journal of Periodontics & Restorative Dentistry, 40, 253-259. https://doi.org/10.11607/prd.4210
Valarelli, F.P., Carniel, R., Cotrin-Silva, P.P., Patel, M.P., Cançado, R.H., Freitas, K.M.S. and de Freitas, M.R. (2017) Treatment of a Class II Malocclusion with Deep Overbite in an Adult Patient Using Intermaxillary Elastics and Spee Curve Controlling with Reverse and Accentuated Archwires. Contemporary Clinical Dentistry, 8, 672-678. https://doi.org/10.4103/ccd.ccd_625_17
Parker, C.D., Nanda, R.S. and Currier, G.F. (1995) Skeletal and Dental Changes Associated with the Treatment of Deep Bite Malocclusion. American Journal of Orthodontics and Dentofacial Orthopedics, 107, 382-393. https://doi.org/10.1016/s0889-5406(95)70091-9
Asakawa, S., Al-Musaallam, T. and Handelman, C.S. (2008). Nonextraction Treatment of a Class II Deepbite Malocclusion with Severe Mandibular Crowding: Visualized Treatment Objectives for Selecting Treatment Options. American Journal of Orthodontics and Dentofacial Orthopedics, 133, 308-316. https://doi.org/10.1016/j.ajodo.2006.08.018
Engel, G., Cornforth, G., Damerell, J.M., Gordon, J., Levy, P., McAlpine, J., Otto, R., Walters, R. and Chaconas, S. (1980) Treatment of Deep-Bite Cases. American Journal of Orthodontics, 77, 1-13. https://doi.org/10.1016/0002-9416(80)90220-1
Pignoly, M., Monnet-Corti, V. and Le Gall, M. (2016) Reason for Failure in the Treatment of Impacted and Retained Teeth. L’Orthodontie Francaise, 87, 23-38. https://doi.org/10.1051/orthodfr/2016001
Nielsen, I. (2021) Class II, Division 2 Malocclusion: What the Clinician Should Know about Treatment of This Malocclusion (PART II). Taiwanese Journal of Orthodontics, 33, Article 1. https://doi.org/10.38209/2708-2636.1099
Frapier, L., Massif, L., Gonzales, J. and Canal, P. (2010) Classe II Division 2. EMC 23-472-E-50. https://www.em-consulte.com/article/268400/classe-ii-division-2
