ISW for the Treatment of Adult Skeletal Class II Case with Temporary Anchorage Device

Authors

  • Huang Chun-Yi Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C Author
  • Yu Jian-Hong Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C Author
  • Lin Chih-Chieh Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C Author
  • Lo Yu-Cheng Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C Author
  • CHEN Yuan-Hou Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C Author

DOI:

https://doi.org/10.47363/JDSR/2021(3)115

Keywords:

ISW, Improved Super-Elastic, Ti-Ni Alloy Wire, Low-Hysteresis (LH) Wire, Intermaxillary Elastics, Class II Malocclusion, Open Bite

Abstract

Patients with a Class II malocclusion, proclination, severe crowding of the maxillary and mandibular anterior teeth, and high mandibular plane angles are a treatment-planning challenge. This case report describes an orthodontic treatment and maxillary premolar extraction without orthognathic surgery for a 18-year old man. Maximum anchorage is needed for upper anterior retraction by using Temporary Anchorage Device (TAD’s). The use of IME and ISW unilateral MEAW was important to relieve upper and lower anterior crowding. After treatment, the patient had a better profile, adequate overjet and overbite. This case report demonstrates that a minimally invasive treatment can successfully correct a severe skeletal Class II malocclusion with large overjet.

Author Biographies

  • Huang Chun-Yi, Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C

    Huang Chun-Yi, Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C.

  • Yu Jian-Hong, Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C

    Yu Jian-Hong, Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C.

  • Lin Chih-Chieh, Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C

    Lin Chih-Chieh, Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C.

  • Lo Yu-Cheng, Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C

    Lo Yu-Cheng, Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C.

  • CHEN Yuan-Hou, Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C

    CHEN Yuan-Hou, Department of Orthodontics, China Medical University and Hospital Medical Center, Taiwan, R.O.C.

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Published

2025-11-24