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Case Reports in Dentistry
Volume 2015 (2015), Article ID 986597, 7 pages
http://dx.doi.org/10.1155/2015/986597
Case Report

Effective and Efficient Herbst Appliance Therapy for Skeletal Class II Malocclusion Patient with a Low Degree of Collaboration with the Orthodontic Treatment

1Graduate Program in Orthodontics, School of Dentistry, Pontifical Catholic University of Minas Gerais, 30535-610 Belo Horizonte, MG, Brazil
2School of Dentistry, Pontifical Catholic University of Minas Gerais, 30535-610 Belo Horizonte, MG, Brazil

Received 19 October 2014; Accepted 6 January 2015

Academic Editor: Carla Evans

Copyright © 2015 Bernardo Quiroga Souki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The current concept for effective and efficient treatment of skeletal Class II malocclusion prescribes that interceptive approach should be delivered during the pubertal growth stage. However, psychosocial issues and a greater risk of dental trauma are also factors that should be addressed when considering early Class II therapy. This paper reports a case of a patient that sought orthodontic treatment due to aesthetic discomfort with the incisors’ protrusion. Two previous treatments failed because patient’s collaboration with removable appliances was inadequate. Given his history of no collaboration and because the patient was in the prepubertal stage, it was decided to try a different approach in the third attempt of treatment. Traumatic injury protective devices were used during the prepubertal stage and followed by Herbst appliance and fixed multibrackets therapy during the pubertal stage, resulting in an adequate outcome and long-term stability.