{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T16:08:37Z","timestamp":1780070917493,"version":"3.54.0"},"reference-count":22,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This case report describes the orthodontic treatment of an adult female with an Angle Class II division 2 malocclusion with a severe deep bite and a congenitally missing lower incisor. The use of available orthodontic devices and materials was limited because the patient had metal allergies. Following a careful examination and case analysis, the preadjusted edgewise appliances and the microscrew implants were placed after the upper first premolars were extracted. After active treatment, a good facial profile and occlusion were achieved. These results have been maintained for 2\u00a0years following completion of the active treatment.<\/jats:p>","DOI":"10.2319\/100613-736.1","type":"journal-article","created":{"date-parts":[[2014,4,15]],"date-time":"2014-04-15T08:29:51Z","timestamp":1397550591000},"page":"902-909","source":"Crossref","is-referenced-by-count":3,"title":["Treatment of adult Class II division 2 patient with metal hypersensitivity"],"prefix":"10.2319","volume":"84","author":[{"given":"Seiji","family":"Haraguchi","sequence":"first","affiliation":[{"name":"Private Practice, Takarazuka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Yamashiro","sequence":"additional","affiliation":[{"name":"Professor and Chair, Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Osaka University, Osaka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-84-5-902-b01","series-title":"Orthodontics: Current Principles and Techniques","article-title":"Diagnosis and treatment planning in orthodontics","author":"Proffit\n              WR,","year":"1985","unstructured":"Proffit\n              WR, \n            \n              Ackerman\n              JL. \n          \n          Diagnosis and treatment planning in orthodontics. In: GraberTM, SwainBF, eds. Orthodontics: Current Principles and Techniques. St Louis, Mo: CV Mosby Co; 1985."},{"key":"i0003-3219-84-5-902-b02","series-title":"Surgical-Orthodontic Treatment","author":"Proffit\n              WR,","year":"1991","unstructured":"Proffit\n              WR, \n            \n              White\n              RP. \n          \n          Surgical-Orthodontic Treatment. St Louis, Mo: CV Mosby Co; 1991."},{"key":"i0003-3219-84-5-902-b03","series-title":"Am J Orthod Dentofacial Orthop","first-page":"676","article-title":"Correction of deep overbite and gummy smile by using a mini-implant with a segmented wire in a growing Class II division 2 patient","volume":"130","author":"Kim\n              TW,","year":"2006","unstructured":"Kim\n              TW, \n            \n              Kim\n              H, \n            \n              Lee\n              SJ. \n          \n          Correction of deep overbite and gummy smile by using a mini-implant with a segmented wire in a growing Class II division 2 patient. Am J Orthod Dentofacial Orthop. 2006;130:676\u2013685."},{"key":"i0003-3219-84-5-902-b04","series-title":"Contact Dermatitis","first-page":"27","article-title":"Nickel sensitivity in the general population","volume":"5","author":"Peltonen\n              L.","year":"1979","unstructured":"Peltonen\n              L. \n          \n          Nickel sensitivity in the general population. Contact Dermatitis. 1979;5:27\u201332."},{"key":"i0003-3219-84-5-902-b05","series-title":"Clin Orthop","first-page":"71","article-title":"Immune response to synthetic materials. Sensitization of patients receiving orthopaedic implants","volume":"326","author":"Merritt\n              K,","year":"1996","unstructured":"Merritt\n              K, \n            \n              Rodrigo\n              JJ. \n          \n          Immune response to synthetic materials. Sensitization of patients receiving orthopaedic implants. Clin Orthop. 1996;326:71\u201379."},{"key":"i0003-3219-84-5-902-b06","series-title":"Clin Oral Implants Res","first-page":"823","article-title":"Titanium allergy in dental implant patients: a clinical study on 1500 consecutive patients","volume":"19","author":"Sicilia\n              A,","year":"2008","unstructured":"Sicilia\n              A, \n            \n              Cuesta\n              S, \n            \n              Coma\n              G, \n            \n              Arregui\n              I, \n            \n              Guisasola\n              C, \n            \n              Ruiz\n              E. \n          \n          Titanium allergy in dental implant patients: a clinical study on 1500 consecutive patients. Clin Oral Implants Res. 2008;19:823\u2013835."},{"key":"i0003-3219-84-5-902-b07","series-title":"J Prosthet Dent","first-page":"344","article-title":"Suspected association of an allergic reaction with titanium dental implants: a clinical report","volume":"100","author":"Egusa\n              H,","year":"2008","unstructured":"Egusa\n              H, \n            \n              Ko\n              N, \n            \n              Shimazu\n              T, \n            \n              Yatani\n              H. \n          \n          Suspected association of an allergic reaction with titanium dental implants: a clinical report. J Prosthet Dent. 2008;100:344\u2013347."},{"key":"i0003-3219-84-5-902-b08","series-title":"J Osaka Univ Dent School","first-page":"239","article-title":"A study on the individual growth of maxillofacial skeleton by means of lateral cephalometric roentgenograms","volume":"22","author":"Wada\n              K.","year":"1977","unstructured":"Wada\n              K. \n          \n          A study on the individual growth of maxillofacial skeleton by means of lateral cephalometric roentgenograms. J Osaka Univ Dent School. 1977;22:239\u2013269."},{"key":"i0003-3219-84-5-902-b09","series-title":"Int J Adult Orthod Orthognath Surg","first-page":"209","article-title":"Surgical versus orthodontic correction of skeletal Class II malocclusion in adolescents: effects and indications","volume":"7","author":"Proffit\n              WR,","year":"1992","unstructured":"Proffit\n              WR, \n            \n              Phillips\n              C, \n            \n              Tulloch\n              JF, \n            \n              Medland\n              PH. \n          \n          Surgical versus orthodontic correction of skeletal Class II malocclusion in adolescents: effects and indications. Int J Adult Orthod Orthognath Surg. 1992;7:209\u2013220."},{"key":"i0003-3219-84-5-902-b10","series-title":"Contact Dermatitis","first-page":"4","article-title":"Hypersensitivity reactions to metallic implants\u2014diagnostic algorithm and suggested patch test series for clinical use","volume":"66","author":"Schalock\n              PC,","year":"2012","unstructured":"Schalock\n              PC, \n            \n              Menn\u00e9\n              T, \n            \n              Johansen\n              JD, \n            et al. \n          Hypersensitivity reactions to metallic implants\u2014diagnostic algorithm and suggested patch test series for clinical use. Contact Dermatitis. 2012;66:4\u201319."},{"key":"i0003-3219-84-5-902-b11","series-title":"Clin Implant Dent Relat Res","first-page":"47","article-title":"Is titanium sensitivity associated with allergic reactions in patients with dental implants? A systematic review","volume":"15","author":"Javed\n              F,","year":"2013","unstructured":"Javed\n              F, \n            \n              Al-Hezaimi\n              K, \n            \n              Almas\n              K, \n            \n              Romanos\n              GE. \n          \n          Is titanium sensitivity associated with allergic reactions in patients with dental implants? A systematic review. Clin Implant Dent Relat Res. 2013;15:47\u201352."},{"key":"i0003-3219-84-5-902-b01","series-title":"Orthodontics: Current Principles and Techniques","article-title":"Diagnosis and treatment planning in orthodontics","author":"Proffit\n              WR,","year":"1985","unstructured":"Proffit\n              WR, \n            \n              Ackerman\n              JL. \n          \n          Diagnosis and treatment planning in orthodontics. In: GraberTM, SwainBF, eds. Orthodontics: Current Principles and Techniques. St Louis, Mo: CV Mosby Co; 1985."},{"key":"i0003-3219-84-5-902-b02","series-title":"Surgical-Orthodontic Treatment","author":"Proffit\n              WR,","year":"1991","unstructured":"Proffit\n              WR, \n            \n              White\n              RP. \n          \n          Surgical-Orthodontic Treatment. St Louis, Mo: CV Mosby Co; 1991."},{"key":"i0003-3219-84-5-902-b03","series-title":"Am J Orthod Dentofacial Orthop","first-page":"676","article-title":"Correction of deep overbite and gummy smile by using a mini-implant with a segmented wire in a growing Class II division 2 patient","volume":"130","author":"Kim\n              TW,","year":"2006","unstructured":"Kim\n              TW, \n            \n              Kim\n              H, \n            \n              Lee\n              SJ. \n          \n          Correction of deep overbite and gummy smile by using a mini-implant with a segmented wire in a growing Class II division 2 patient. Am J Orthod Dentofacial Orthop. 2006;130:676\u2013685."},{"key":"i0003-3219-84-5-902-b04","series-title":"Contact Dermatitis","first-page":"27","article-title":"Nickel sensitivity in the general population","volume":"5","author":"Peltonen\n              L.","year":"1979","unstructured":"Peltonen\n              L. \n          \n          Nickel sensitivity in the general population. Contact Dermatitis. 1979;5:27\u201332."},{"key":"i0003-3219-84-5-902-b05","series-title":"Clin Orthop","first-page":"71","article-title":"Immune response to synthetic materials. Sensitization of patients receiving orthopaedic implants","volume":"326","author":"Merritt\n              K,","year":"1996","unstructured":"Merritt\n              K, \n            \n              Rodrigo\n              JJ. \n          \n          Immune response to synthetic materials. Sensitization of patients receiving orthopaedic implants. Clin Orthop. 1996;326:71\u201379."},{"key":"i0003-3219-84-5-902-b06","series-title":"Clin Oral Implants Res","first-page":"823","article-title":"Titanium allergy in dental implant patients: a clinical study on 1500 consecutive patients","volume":"19","author":"Sicilia\n              A,","year":"2008","unstructured":"Sicilia\n              A, \n            \n              Cuesta\n              S, \n            \n              Coma\n              G, \n            \n              Arregui\n              I, \n            \n              Guisasola\n              C, \n            \n              Ruiz\n              E. \n          \n          Titanium allergy in dental implant patients: a clinical study on 1500 consecutive patients. Clin Oral Implants Res. 2008;19:823\u2013835."},{"key":"i0003-3219-84-5-902-b07","series-title":"J Prosthet Dent","first-page":"344","article-title":"Suspected association of an allergic reaction with titanium dental implants: a clinical report","volume":"100","author":"Egusa\n              H,","year":"2008","unstructured":"Egusa\n              H, \n            \n              Ko\n              N, \n            \n              Shimazu\n              T, \n            \n              Yatani\n              H. \n          \n          Suspected association of an allergic reaction with titanium dental implants: a clinical report. J Prosthet Dent. 2008;100:344\u2013347."},{"key":"i0003-3219-84-5-902-b08","series-title":"J Osaka Univ Dent School","first-page":"239","article-title":"A study on the individual growth of maxillofacial skeleton by means of lateral cephalometric roentgenograms","volume":"22","author":"Wada\n              K.","year":"1977","unstructured":"Wada\n              K. \n          \n          A study on the individual growth of maxillofacial skeleton by means of lateral cephalometric roentgenograms. J Osaka Univ Dent School. 1977;22:239\u2013269."},{"key":"i0003-3219-84-5-902-b09","series-title":"Int J Adult Orthod Orthognath Surg","first-page":"209","article-title":"Surgical versus orthodontic correction of skeletal Class II malocclusion in adolescents: effects and indications","volume":"7","author":"Proffit\n              WR,","year":"1992","unstructured":"Proffit\n              WR, \n            \n              Phillips\n              C, \n            \n              Tulloch\n              JF, \n            \n              Medland\n              PH. \n          \n          Surgical versus orthodontic correction of skeletal Class II malocclusion in adolescents: effects and indications. Int J Adult Orthod Orthognath Surg. 1992;7:209\u2013220."},{"key":"i0003-3219-84-5-902-b10","series-title":"Contact Dermatitis","first-page":"4","article-title":"Hypersensitivity reactions to metallic implants\u2014diagnostic algorithm and suggested patch test series for clinical use","volume":"66","author":"Schalock\n              PC,","year":"2012","unstructured":"Schalock\n              PC, \n            \n              Menn\u00e9\n              T, \n            \n              Johansen\n              JD, \n            et al. \n          Hypersensitivity reactions to metallic implants\u2014diagnostic algorithm and suggested patch test series for clinical use. Contact Dermatitis. 2012;66:4\u201319."},{"key":"i0003-3219-84-5-902-b11","series-title":"Clin Implant Dent Relat Res","first-page":"47","article-title":"Is titanium sensitivity associated with allergic reactions in patients with dental implants? A systematic review","volume":"15","author":"Javed\n              F,","year":"2013","unstructured":"Javed\n              F, \n            \n              Al-Hezaimi\n              K, \n            \n              Almas\n              K, \n            \n              Romanos\n              GE. \n          \n          Is titanium sensitivity associated with allergic reactions in patients with dental implants? A systematic review. Clin Implant Dent Relat Res. 2013;15:47\u201352."}],"container-title":["The Angle Orthodontist"],"original-title":[],"link":[{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/84\/5\/article-p902.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/84\/5\/article-p902.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/84\/5\/article-p902.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:42:32Z","timestamp":1780069352000},"score":1,"resource":{"primary":{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/84\/5\/article-p902.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9]]},"references-count":22,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.2319\/100613-736.1","relation":{},"ISSN":["0003-3219","1945-7103"],"issn-type":[{"value":"0003-3219","type":"print"},{"value":"1945-7103","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9]]}}}