Skeletal, dental and profilometric effects of Sabbagh Universal Spring 2 (SUS2) in a patient at the end of growth: A case report

  • Pierdavide Marchionni Università Cattolica del Sacro Cuore - Rome, Faculty of Medicine “A. Gemelli”, School of Dentistry
  • Roberto Di Bari Università Cattolica del Sacro Cuore - Rome, Faculty of Medicine “A. Gemelli”, School of Dentistry
  • Simone Sferra Università Cattolica del Sacro Cuore - Rome, Faculty of Medicine “A. Gemelli”, School of Dentistry
  • Cristina Grippaudo Università Cattolica del Sacro Cuore - Rome, Faculty of Medicine “A. Gemelli”, School of Dentistry

Abstract


Introduction: Malocclusions, which present a severe skeletal component, are difficult to solve through orthodontic treatment inpatients at the end of growth and often require a combined orthodontic-surgical treatment. The mandibular propulsion appliances“no compliance” now offer new possibilities for functional orthopedic treatment in borderline cases.

Case presentation: A patient at the end of growth with a severe malocclusion (Class II Division 1), open bite with arches’ transversaldiscrepancy, refused the hypothesis of an orthodontic-surgical treatment, which represents the gold standard in such occlusal andskeletal problems, especially in subjects at the end of growth; consequently, a complex orthopedic-orthodontic treatment was chosenas the second choice. The patient has been successfully treated also through the use of SUS2 (Sabbagh Universal Spring 2; Dentaurum,Ispringen, Germany), a “no compliance” fixed functional appliance, wich carried out a significant sagittal correction.

Conclusion: The case report especially highlights the important sagittal correction obtained through the use of SUS2. The SUS2 hada functional outcome, which resulted in the maxillary growth stop and an effective sagittal mandibular growth increase. The SUS2effects, enhanced by elastics biomechanics, led to the bite closure and at the achievement of Class I occlusion.

References

Moimaz SA, Garbin AJ, Lima AM, Lolli LF, Saliba O, Garbin CA. Longitudinal study of habits leading to malocclusion development in childhood. BMC Oral Health. 2014;4;14:96.

Matsumoto MA, Romano FL, Ferreira JT, Valério RA. Open bite: diagnosis, treatment and stability. Braz Dent J. 2012;23(6):768-78.

Galletto L, Urbaniak J, Subtelny JD. Adult anterior open bite. Am J Orthod Dentofacial Orthop. 1990;97(6):522-6.

Nielsen IL. Vertical malocclusions: etiology, development, diagnosis and some aspects of treatment. Angle Orthod. 1991;61(4):247-60. Erratum in: Angle Orthod 1992;62(2):87.

Epker BN, Fish L. Surgical-orthodontic correction of open-bite deformity. Am J Orthod. Dentofacial Orthop. 1977;71(3):278-99.

Subtelny JD, Subtelny JD. Oral habits--studies in form, function, and therapy. Angle Orthod. 1973;43(4):349-83.

Lamparski DG Jr, Rinchuse DJ, Close JM, Sciote JJ. Comparison of skeletal and dental changes between 2-point and 4-point rapid palatal expanders. Am J Orthod Dentofacial Orthop. 2003;123(3):321-8.

Hanandeh BA, El-Bialy AA. Evaluating the effect of Sabbagh Universal Spring during treatment of growing class II malocclusions. Int J Orthod Milwaukee. 2010;21(4):13-24.

Papadopoulos MA. Classification of the non compliance appliances used for Class II correction. In: Papadopoulos MA. Orthodontic treatment of Class II noncompliant patient. 1st ed. Mosby; 2006:9-15.

Blackwood HO 3rd. Clinical management of the Jasper Jumper. J Clin Orthod. 1991;25(12):755-60.

Pancherz H. The mechanism of Class II correction in Herbst appliance treatment. Am J Orthod Dentofacial Orthop. 1982;82(2):104-13.

Valant JR, Sinclair PM. Treatment effects of the Herbst appliance. Am J Orthod Dentofacial Orthop. 1989;95(2):138-47.

Sabbagh A. The Sabbagh Universal Spring (SUS). In: Papadopoulos MA. Orthodontic treatment of Class II noncompliant patient. 1st ed. Mosby; 2006:203-215.

Weiland FJ, Bantleon HP. Treatment of Class II malocclusions with the Jasper Jumper appliance -- a preliminary report. Am J Orthod Dentofacial Orthop. 1995;108(4):341-50.

Covell DA Jr, Trammell DW, Boero RP, West R. A cephalometric study of Class II division 1 malocclusion treated with the Jasper Jumper appliance. Angle Orthod 1999;69(4):311-20.

Oztoprak MO, Nalbantgil D, Uyanlar A, Arun T. A cephalometric comparative study of class II correction with Sabbagh Universal Spring (SUS(2)) and Forsus FRD appliances. Eur J Dent. 2012;6(3):302-10.

Jefferson Y. Anterior open bite--simplified non surgical technique to correct in adults. Int J Orthod Milwaukee. 2015;26(1):19-24.

Published
2017/10/03
Section
Case Report