Management of a case with brodie bite – A novel approach

• Author Details:   
• Keerthi Venkatesan
• Sridevi Padmanabhan ^*

---

An early adolescent female patient reported with convex profile, bilateral brodie bite malocclusion presenting with expanded maxillary arch and constricted mandibular arch, bimaxillary protrusion and incompetent lips. She was treated with a novel approach involving fixed mechanotherapy (MBT prescription of 0.022”X 0.028” slot) with adjuncts. Hygienic Rapid Expander screw activated in a reverse direction was used to constrict the maxillary arch and a jockey arch wire was used to expand the mandibular arch. The vertical problems were addressed by using miniscrews to intrude the supraerupted 17, 16. On correction of the Brodie bite, extraction of all 4 first premolars were performed and retraction under maximum anchorage was done. The entire treatment took about 40 months. Upper essix retainer and lower bonded lingual retainer in addition to lower essix retainer was given for full time wear till 1 year, followed by night time wear.