Tratamiento actual de las clases II-1 sin extracciones en el paciente en crecimiento

Abstract

The objetive of this article is to analyze the state of the art about the treatment of Class II malocclusions and describe briefly our clinical philosophy and technique about its treatment in the growing patient. The five basic steps are: you have to start the treatment on time (too early is too long and too late is ineffective), the coordination, at the same time, the orthopaedic and orthodontic treatment, the ecological use of the muscular and eruptive forces, the use of light and intermittent forces with the minimum amount of appliances and the control of the orthodontic tooth movement and the friction tooth-by-tooth. We describe also the protocol for our diagnosis (according to the soft tissues and from the nasolabial angle), the first choice appliance selection (according to the malocclusion area and the biotype of the patient), the criteria to the selection of brackets and wires in each phase of treatment and our policy of intermittent retention.