scholarly journals Anteroposterior and Vertical Components of Class II division 1 and division 2 Malocclusion

2009 ◽  
Vol 79 (5) ◽  
pp. 859-866 ◽  
Author(s):  
Emad A. A. Al-Khateeb ◽  
Susan N. Al-Khateeb

Abstract Objective: To describe and analyze the skeletal and dental characteristics associated with Class II division 1 (Class II/1) and Class II division 2 (Class II/2) malocclusions in the anteroposterior and vertical dimensions. Materials and Methods: A total of 551 lateral cephalograms were used; 293 films of Class II/1 and 258 films of Class II/2 malocclusions. Lateral cephalographs were traced and analyzed. Parameters for both malocclusions were compared with each other and with the norms calculated for the Jordanian population in another study. Results: The maxilla was prognathic in both malocclusions. The mandible was retrognathic in Class II/1 and orthognathic in Class II/2. Vertically, LAFH was significantly reduced in patients with Class II/2 compared with subjects with Class II/1 who exhibited a significantly increased LAFH. In Class II/1, the lower incisors were proclined and the interincisal angle was reduced, while in Class II/2 the lower incisors were at a normal inclination and the interincisal angle was significantly increased. Conclusions: Class II/2 may be considered as a separate entity which differs in almost all skeletal and dental features from Class I and Class II/1. A Class II skeletal pattern and reduced interincisal angle were common features of Class II/1 malocclusion, while a Class II skeletal pattern, increased interincisal angle, and skeletal deep bite were common features of Class II/2 malocclusion.

2015 ◽  
Vol 5 ◽  
pp. 70-76
Author(s):  
Kyumi V. Shethiya ◽  
Gauri S. Vichare ◽  
Ravindranath B. Sable

Aim This retrospective study was conducted to determine skeletal, dentoalveolar changes in children treated with Twin Block or activator for the treatment of Class II Division 1 malocclusion with different jaw rotations. Materials and Methods Standardized lateral cephalograms of 32 patients (18 boys, 14 girls) between the ages of 11 and 14 years were chosen and divided into two groups, high angle (FMA >27) and low angle (FMA <20). Cephalograms were taken at T1 (pre-treatment) and T2 (after one year of myofunctional therapy).These were manually traced and analysed. Results The results showed statistically significant increase in SNB angle, VRP-Pog due to forward movement of the mandible. The overjet reduced significantly due to retroclination of upper incisors and proclination of lower incisors in both groups. Conclusion It was concluded that both high angle and low angle groups responded equally well to myofunctional therapy showing significant skeletal and dentoalveolar changes.


2021 ◽  
Vol 71 (1) ◽  
pp. 238-42
Author(s):  
Saadia Panezai ◽  
Nasrullah Mengal ◽  
Sadia Nisar Ahmed

Objective: To determine Collum angle and crown to root angle of maxillary central incisor in different skeletalmalocclusion. Study Design: Comparative cross sectional study. Place and Duration of Study: Orthondontics department, Bolan Medical College, Civil Sandman Hospital,Quetta, from Jun to Dec 2018. Methodology: Data sample consisted of 140 lateral cephalograms. Sample consisted of 74 female cephalograms and 66 male cephalograms. The mean age of sampled subjects ranged between 21.62 ± 5.96 years. The Colum angle of the maxillary central incisors in each group was measured. SPSS version 21 was used to enter and process data. Comparison between Class II division 1 and division 2 collum angles was made by applying student t-test. Results: The average value for Collum angle in class II division 1 sample was 4.38 ± 3.08 with minimum being 0and maximum 15 degree. The average values for Class II division 2 was 10.52 ± 4.37 with minimum 30 and amaximum 23 degree. Conclusion: Maxillary central incisors in all malocclusions had significantly different mean Collum angles fromzero. Paired sample t-test comparison showed that the Collum angle for maxillary central was much higher inClass II division 2.


2017 ◽  
Vol 68 (8) ◽  
pp. 1935-1939
Author(s):  
Ronen Boiangiu ◽  
Angelica Bencze ◽  
Elina Teodorescu ◽  
Stefan Milicescu Jr. ◽  
Viorica Tarmure ◽  
...  

The aim of the research is to investigate the characteristics of cranial base morphology in class II division 1 and class II division 2 malocclusions. The study group consisted of 40 patients aged 11 years treated at the Orthodontic Department of �Carol Davila� University. Both gender and both malocclusion types were equally represented. Lateral cephalograms were traced and 22 linear and angular cephalometric parameters were calculated: four parameters for the cranial base (N-S-Ba, N-Op-Ba angles, N-S, S-Ba lengths) and 18 parameters for the maxillofacial complex Nsa-Nsp, Go-Gn, Kdl-Go, S-Nsp, N-Nsa, Nsa-Gn, N-Gn, Nsp-Go, SNA angle, ANB angle, SN � NsaNsp angle, SN-GoGn angle, N-Nsa-Gn angle, S-Nsp-Go angle, N-Nsa-Pg angle, gonial angle, FMA angle, NsaNsp � GoGn. Statistical significant differences between cranial base parameters in the two malocclusions groups were depicted, in particular for feminine gender. Regardless of gender, the sphenoidal angle values were mainly increased in both malocclusion groups, when compared to normal population values. The S-Ba lengths were decreased in both malocclusion groups, regardless of gender. More significant alterations of cranial base morphology were depicted in patients with Class II Division 2 malocclusions then in patients with Class II Division 1 malocclusion. The study�s results sustain the existence of some cranial base alterations in Class II malocclusions.


2015 ◽  
Vol 1 (1) ◽  
pp. 8-12
Author(s):  
Bishnu Prasad Sharma ◽  
Chang Xin ◽  
Jagan Nath Sharma

Introductions: The establishment of specific cephalometric norms for specific race or ethnic group has been documented in literatures. The aim of the present study was to compare the Tweed triangle for Nepalese and Chinese subjects with Angle Class II division 1 malocclusion. Methods: The cephalometric radiographs of 52 Nepalese and 52 Chinese students age between 14 to 18 years, Class II division 1 malocclusion with Point A-Nasion-Point B angle larger than 4 degrees were analyzed for 9 parameters. Results: Mean age of Nepalese participants was 14.28 years and that of Chinese 14.09. The comparative variables of Nepalese and Chinese population were: Y axis (61.39 and 67.52), Sella Nasion Point A angle (83.69 and 81.14), Sella Nasion Point B angle (76.87 and 74.62), Occlusal plane angle (19.0 and 23.12), Frankfort Mandibular plane angle (28.13 and 32.87) and Lower Incisior to Frankfort Horizontal plane Angle (54.77 and 48.23). Conclusions: The Class II skeletal pattern, well positioned maxillas and retrusive mandibles were present in both samples. The Chinese showed more protruded maxilla, more buccal inclination of lower incisors and longer face than Nepalese. Plain Language Summary: The study was done to identify the Tweed triangle for a sample of Nepalese and Chinese subjects with Angle Class II division 1 malocclusion . The study found that the both samples showed Class II skeletal pattern, well positioned maxillas and retrusive mandibles but the Chinese had more protruded maxilla, more buccal inclination of lower incisors and longer face than Nepalese. It showed the importance of ethnic role as Nepalese have distinct cephalometric features, which should be used as a reference while treating the Nepalese orthodontic patients. DOI: http://dx.doi.org/10.3126/jpahs.v1i1.13008 Journal of Patan Academy of Health Sciences. 2014 Jun;1(1):8-12


2011 ◽  
Vol 1 (1) ◽  
pp. 36-41
Author(s):  
Jyoti Dhakal

The dentoskeletal characteristics of Class II malocclusion subjects were evaluated using cephalometric radiograph and dental cast of 60 untreated patients. The sample included 30 Class II Division 1 and 30 Class II Division 2 malocclusion patients. The inter-canine, inter-premolar, inter-molar, inter-canine alveolar, inter-premolar alveolar, inter-molar alveolar widths are measured on study models. The result showed statistically significant difference between the groups for mandibular inter-canine width only. The cephalometric analysis revealed that SNB angle was responsible for the skeletal sagittal difference between the two groups except for the position of maxillary incisors. No basic difference in dentoskeletal morphology existed between Class II Division 1 and Class II Division 2 malocclusions.


2021 ◽  
pp. 030157422096341
Author(s):  
Smita Mangesh Choudhari ◽  
Sunita Shrivastav

Introduction: Altered nasorespiratory function leads to altered craniofacial growth. Thus, airway evaluation is important for preventive, interceptive, and corrective orthodontic treatment. The aim of this study was to evaluate and compare adenoids, the upper airway, the tongue, and mandibular dimensions using “predictors of difficult airways” in class II division 1 and class II division 2 cases with class I cases. Method: Sixty subjects of age 15 to 18 years were divided into 3 groups (group 1: class I cases; group 2: class II division 1 cases; and group 3: class II division 2 cases) based on cephalometric parameters, with 20 cases in each group. Cephalometric evaluation of adenoids and the nasopharyngeal airway was done using the Handelman–Osborne area method. Upper and lower airway evaluation was done using McNamara’s linear method. “Predictors of difficult airways” were used for evaluation of the airway, which included nasal competency, the Mallampati scale, mandibular length, mandibular protrusion, and the thyromental distance. Results: The present study found a significant positive correlation between the grades of nasal competency and percentage adenoid wall area, and a significant negative correlation between the grades of nasal competency and the upper airway. There was a significant positive correlation between the grades of nasal competency and mandibular length, and a significant positive correlation between the grades of mandibular protrusion and mandibular length. There was a significant positive correlation between the grades of the thyromental distance and mandibular length. Conclusion: It was concluded that the “predictors of difficult airways” would be helpful in early diagnosis and identification of potential risk factors that may cause “breathing disorders”–related malocclusions and later on increase the risk of developing OSA.


2011 ◽  
Vol 25 (1) ◽  
pp. 56-62 ◽  
Author(s):  
Leandro Silva Marques ◽  
Mônica Costa Armond ◽  
Maria Letícia Ramos-Jorge ◽  
Raquel Gonçalves Vieira de Andrade ◽  
Ana Maria Bolognese

2021 ◽  
Vol 7 (4) ◽  
pp. 276-281
Author(s):  
Puja Khanna ◽  
Sumit Chhabra ◽  
Preeti Munjal ◽  
Sunny Mittal ◽  
Nishtha Arora

Association of tongue posture with dental and facial skeletal pattern have been suggested in past. This study was undertaken to assess tongue posture and dimensions in Class I and Class II Dentoskeletal patterns to determine whether any correlation exists between tongue posture and skeletal pattern of an individual. Cephalograms of 150 individuals (aged 18-23 years), taken in Natural Head Position (NHP) and tongue at rest were divided into three groups i.e. Group 1 – Class I Normal occlusion, Group 2 – Class II Division 1 Normodivergent and Group 3 – Class II Division 1 Hypodivergent, consisting of 50 samples each. To ensure the rest position of tongue, patient was asked to relax for 30 seconds after coating the tongue with barium sulphate in midline and then to swallow, and the X-ray was taken at the end of swallowing. Each group was divided into two subgroups according to sex. Groups were constituted according to the Frankfort mandibular plane angle (FMA) angle. The subjects who had skeletal Class II pattern due to mandibular retrusion and not due to maxillary prognathism were only included in the study group. Statistical analysis was done using the software SPSS version 21.0. The statistical tests used were unpaired t-test and One-way ANOVA test with post-hoc bonferroni test. The p-value was considered significant if less than 0.05.The dorsum of the tongue was higher at back and lower in front in Class II Division 1 Hypodivergent group as compared to Class I Normal occlusion group (P&#60;.05). Tongue height and tongue length were significantly reduced in Class II Division 1 Normodivergent and Class II Division 1 Hypodivergent malocclusion groups when compared to Class I control group (P&#60;.05).The study supports the existence of a relationship between posture & dimensions of the tongue with Class I and Class II skeletal patterns.


2018 ◽  
Vol 21 (3) ◽  
pp. 304
Author(s):  
J.-L. Raymond

The orthodontic treatment of severe class II division 1 malocclusions is often difficult, which leads some specialists to offer a surgical correction of the overjet. Treatment is made complex by the value of the horizontal overlap as much as the « depth » of deep bite that is very often present alongside the malocclusion. This is why we are offering a treatment protocol including a FABP (Fixed Anterior Bite Plate) which will allow, if the patient cooperates, to correct the anatomic anomaly while concurrently establishing new masticatory cycles in order to stabilize and preserve the results obtained. It is this systemic approach of treatment that is the focus of this article.


2012 ◽  
Vol 06 (02) ◽  
pp. 123-132 ◽  
Author(s):  
Elcin Esenlik ◽  
Fidan Alakus Sabuncuoglu

ABSTRACTObjectives: The aim of this study was to investigate the alveolar and symphysis region properties in hyper-, hypo-, and normodivergent Class II division 1 anomaliesMethods: Pretreatment lateral cephalograms of 111 young adult female patients with skeletal Class II division 1 anomalies were compared to those of 54 Class I normal subjects (control group). Class II cases were divided into hyperdivergent (n = 58), hypodivergent (n = 19), and normodivergent groups (n = 34). The heights and widths of the symphysis and alveolus and the depth of maxillary palate were measured on the lateral cephalogramsResults: Mean symphysis width was wider in the hypodivergent Class II group than in the other groups, while mean symphysis height was similar among all groups. Maxillary palatal depth, upper incisor angle, upper and lower molar alveolar heights, and Id–Id′ width were also similar among groupsConclusion: Symphysis width is the main factor in the differential diagnosis of Class II division 1 anomaly rather than symphysis height and hypodivergent Class II Division 1 anomaly is more suitable for mandibular incisors movements. (Eur J Dent 2012;6:123-132)


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