Non-surgical treatment of a severe deep bite with aligners and miniscrew: A hybrid approach

Abstract

This case report describes an orthodontic treatment combining aesthetic aligners with miniscrews and auxiliaries in an adult patient with Class II skeletal pattern and severe deep bite. A 38-year-old hypodivergent male patient with skeletal class II and severe deep bite presented for orthodontic treatment. The patient refused orthognathic surgery and conventional fixed multibracket treatment in favor of aligners in association with the use of miniscrews. The entire treatment was completed within nine months. Smile line and facial profile were improved, and post-treatment panoramic radiography showed good root parallelism, no sign of crestal bone height reduction, and no evidence of apical root resorption. The patient was satisfied with the aesthetic and functional outcomes. This case report illustrates that aligners associated with miniscrews and auxiliaries may be used to treat severe deep bite in certain cases.