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CASE REPORT
Year : 2019  |  Volume : 10  |  Issue : 1  |  Page : 31-41

Combining different treatment philosophies and techniques to reach the desired treatment goal using butterfly system: Customizing orthodontic treatment


1 Department of Orthodontics, Tristar Hospital, Surat, Gujarat, India
2 Department of Orthodontics, A. J. Institute of Dental Sciences, Mangalore, Karnataka, India

Correspondence Address:
Dhaval Ranjitbhai Lekhadia
20, Prajeet Row House, Umra, Surat - 395 007, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijor.ijor_14_17

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This case report describes the orthodontic treatment of an 18-year-old male patient who presented with straight profile, tongue thrust habit, proclined upper incisors, generalized spacing in the upper and lower arches, Katz Class II premolar relation unilaterally, and Class II canine relation unilaterally with increased overjet and overbite. A butterfly system was used for the treatment combined with frictionless biomechanics in the initial stage of the treatment followed by continuous arch mechanics in the later part of the treatment. A tongued crib was used to stop the tongue thrust habit along with one elastic swallow exercise. Micro-implant anchorage was used unilaterally in the upper arch for retraction of the entire segment and correction of the unilateral Class II canine and premolar relationship. To avoid a dished-in profile, a nonextraction treatment was executed. Final correction of distally tipped canines was achieved using conventional Begg's uprighting auxiliaries in the vertical slots of the butterfly system in the finishing stage. The case was finished using bite-settling elastics. The total treatment time was 1 year and 2 months. Esthetic and functional goals were achieved satisfactorily with proper selection of biomechanics.


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