Article: Volume 10 Number 3 Page 112 - July 2017

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  Orth Update 2017; 10: 112-115

Orthodontics:  Treatment of a Class II Malocclusion Complicated by Digit-Sucking

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Abstract: This article describes the management of a 12-year-old girl who presented with a Class II division 1 incisor relationship on a Class II skeletal base with an overjet of 10 mm and a thumb-sucking habit. This patient was treated with a modified Herbst appliance to correct the Class II skeletal pattern and break her thumb-sucking habit.

Clinical relevance: It is important to recognize a digit-sucking habit early as this needs to be eliminated prior to starting orthodontic treatment. This can complicate treatment of patients who require treatment with functional appliances.

Author notes: Inderjit Shargill, BDS, MPhil, MFDS RCS, MOrth RCS, FTTA in Orthodontics, Peter Woodhead, BTEC National Diploma in Dental Technology, Diploma in Professional Studies (Orthodontics Technology), Orthodontic Technician, David O Morris, BDS, MSc(Lond), FDS(Ortho) RCPS, FDS RCS(Eng), MOrth RCS(Eng), Consultant in Orthodontics, Seacroft Hospital, Leeds, UK.

Objective: To explain the difficulties of the treatment of Class II malocclusions that present with digit-sucking and describe an efficient method to treat these malocclusions.

Kavo Kerr