iDentistry The Journal September-December 2017 | Page 38

The Journal Eruption is delayed.Ramos38 presented case report where Orthodontic treatment was started with a cervical headgear and a full fixed appliance to correct the Angle Class II, division 1 malocclusion and to prepare the spaces for implants in the place of the anodontic incisors. The most prominent fraenula were eliminated and both bell-shaped central incisors were recontoured. Conclusion Malocclusion is the result of various combinations and permutation of genetic as well as environmental influences. Understanding the genetics underlying the dentofacial variation in patients with malocclusion is fundamental to develop preventive strategies and innovative treatment modalities that will benefit individual patients. The greater the genetic component to the malocclusion, the worse the prognosis for a successful outcome by means of orthodontic intervention. Although, it is very challenging to reveal the genetic component of most malocclusions and dental anomalies because of the polygenic nature of craniofacial traits, data provided by the human genome project have made it feasible to map inherited conditions related to the dentofacial development. In clinical orthodontics each malocclusion occupies its own distinctive slot in the genetic /environmental spectrum. Awareness of genetic expression helps to segregate the inherited malocclusions from those due to the effect of environmental factors and thereby helps to diagnose, treat and possibly even prevent a malocclusion from occurring in the next generation. 37 Vol. 13 No. 3 Sep-Dec 2017