Comparative Dentoskeletal Study of Class II Division 1 and Class II Division 2 Malocclusion Subjects

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.

2018 ◽  
Vol 5 (1) ◽  
pp. 7-10
Author(s):  
Santiago Coello-Vásquez ◽  
Alberto Alvarado-Cordero ◽  
María Delgado-López ◽  
Luisa Salinas-Abarca

The aim of this paper was to determine the prevalence of malocclusions in 12-year-old schoolchildren from Cuenca, Ecuador. A cross-sectional study was carried out, including a clinical examination of 181 schoolchildren aged 12 years, who were randomly selected from the schoolchildren population. We assessed the presence of malocclusions using the Angles classification. The analysis was performed in the program EpiInfo 7.2. The majority of the patients presented malocclusions (91.7%). There is no significant difference between public and private schools and the male sex was slightly more affected. There was a predominance of the Class II division 1 (30.4%), followed by Class III (25.4%), and Class I (24.9%), with the lowest prevalence reported for Class II division 2 (11%). A high rate of malocclusion was found in in 12-year-old schoolchildren from Cuenca, Ecuador, in both males and females. The dominant malocclusion in this study was Class II division 1.


Author(s):  
Md Masud Rana ◽  
Md Zakir Hossain

Aim : To evaluate the transverse discrepancy in different malocclusion groups. Also to test the hypothesisvthat models with Class II division 2 malocclusion may have mean maxillary arch widths significantly smaller than those with normal occlusions and significantly larger than those with Class II division 1 malocclusion. Thus the proposed study will generate interest among the orthodontists for further study over the transverse discrepancy of our patients and guide them to establish effective treatment strategy and their management.Methods:  This study was a cross  sectional  study conducted among the dental casts of 150 patients and  students of the Department of Orthodontics and Dentofacial Orthopedics, Dhaka Dental College and  Hospital. Both male and female were included.  The first group consists of 50 pair of study models with  permanent dentition and diagnosed as Class I (normal) occlusion. The second group includes another 50 pair of dental casts with permanent dentition and diagnosed as Class II division 1 malocclusion . And third group includes another 50 pair of dental casts with permanent dentition and was diagnosed as Class II division 2 malocclusion. This group of malocclusion was again subdivided into two categories, Class II division 2 malocclusion with crowding and Class II division 2  malocclusion without crowding. The Student’s t –test was used to analyze the data. In this analytical test the level of significance p value <0.05 was considered significantResults: No Statistically significant difference was observed in the maxillary inter canine, inter first  premolar and inter first molar widths between class-I and Class-II div-1. Significant differences were  observed between two groups. In case of mandibular inter first molar widths  (p value = 0.001), and also  differences in case of mandibular inter canine, inter first premolar and inter first molar widths between  Class-I and Class II div 2 malocclusion  p value respectively .01, 0.002,0.01.Conclusion: This study helps in determining possible differences in the dental arch widths of Bangladeshi people in  Class II div 2 adults compared to adults with Class II div 1 and normal occlusion may be an  important aid in further understanding of dentoalveolar characteristics of these conditions, as well as  improving their management.Ban J Orthod & Dentofac Orthop, April 2013; Vol-3, No.2


Author(s):  
Sankalp Agnani ◽  
Kamal Bajaj ◽  
Siddharth Mehta ◽  
Lavesh Pandey

Abstract Introduction There is an increasing trend of malocclusion among children, so it is necessary to identify the cause of the tooth wear so that the orthodontist can treat the patient accordingly. It is necessary to determine the wear patterns of different malocclusions. Therefore, the aim of our study was to compare the patterns of tooth wear among two categories of Angle’s class II malocclusions, i.e. class II division 1 and class II division 2. Material and methods The sample consisted of 100 pretreatment orthodontic patients in the age group of 15–25 years with Angle’s class II malocclusion and were divided into following two groups: (a) Group 1: 50 subjects with full cusp Angle’s class II division 1 malocclusion. (b) Group 2: 50 subjects with full cusp Angle’s class II division 2 malocclusion. Clinical examination of the patients for tooth wear was done supplemented with dental casts, intraoral photographs and intraoral radiographs. Then each group was assessed for severity of tooth wear according to modified tooth wear index (TWI) given by de Carvalo Sales-Peres et al. Scores were subjected to statistical analysis and the pattern of tooth wear among the two groups of class II malocclusion was compared. A correlation between the gender of the patient and the tooth wear was also determined. The level of statistical significance (p-value) was less than 0.05. Results The class II division 1 subjects showed statistically greater wear on the occlusal surfaces of the maxillary canines, first, second premolar and first molar, and the occlusal surfaces of the mandibular first molars. The class II division 2 subjects showed statistically greater tooth wear on the labial surfaces of the mandibular central and lateral incisors, the incisal surface of maxillary and mandibular incisors, the palatal surfaces of the maxillary second premolars, first and second molars. In class II division 1 subjects, the tooth wear was significant on the buccal surface of maxillary canines, occlusal surface of mandibular first premolars and second molars in males. In class II division 2 subjects, the tooth wear was significant on the buccal surface of mandibular canines, palatal surface of maxillary central incisors in females and palatal surface of maxillary first premolars in males. Conclusions The results of this study suggested that the two categories of Angle’s class II malocclusion have different tooth-wear patterns. The wear patterns were different in both the sexes. Men showed higher occlusal wear scores than did women. The findings also suggest that tooth wear in relation to malocclusion is physiologic and is due to dissimilar interocclusal arrangement.


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.


2020 ◽  
Vol 67 (3) ◽  
pp. 159-164
Author(s):  
Tina Pajevic ◽  
Jovana Juloski ◽  
Marija Zivkovic

Introduction. Orthodontic treatment of Class II Division 1 (II/1) malocclusions in adults can be challenging since skeletal effects are limited. Possible treatment options are orthodontic camouflage or orthognatic surgery, in severe cases. The aim of this paper was to present a successful management of Class II malocclusion in an adult patient using temporary anchorage devices (TADs). Case report. After detailed clinical examination, study models and cephalometric analysis, a 26 years old patient was diagnosed with Class II malocclusion, an overjet of 12 mm, congenitally missing tooth 41 and midline shifted to the right in upper dental arch. In prior orthodontic treatment, patient had upper premolars extracted. Posterior teeth in upper left quadrant were shifted mesially. The camouflage treatment was considered, using temporary anchorage devices (TADs) to distalize posterior teeth on the left side, and gain space for incisor retraction and midline correction in upper dental arch. Results. Using TADs as additional anchorage in anterior region and coil spring for molar distalization, the space was made for tooth 23, midline correction and incisor retraction. After 40 months, a satisfactory result was achieved, overjet and midline correction, class I canines occlusion and class II molar occlusion. Conclusion. Class II/1 malocclusion in adults can be successfully treated using TADs. The success depends on the severity of malocclusion and patient cooperation.


2012 ◽  
Vol 83 (2) ◽  
pp. 246-252 ◽  
Author(s):  
Rui Shu ◽  
Xianglong Han ◽  
Yating Wang ◽  
Hui Xu ◽  
Dongqing Ai ◽  
...  

ABSTRACT Objective: To compare the arch width, alveolar width, and buccolingual inclination of maxillary and mandibular posterior teeth between Class II division 1 malocclusion and Class I occlusion. Materials and Methods: Forty-five subjects with Class I occlusion and 45 subjects with Class II division 1 malocclusion were selected to measure the maxillary and mandibular arch width and alveolar width of premolars and first molars with digital caliper. Buccolingual inclination of maxillary and mandibular premolars and first molars were measured with a modified universal bevel protractor. Results: All of the posterior teeth in both groups were lingually tilted. The maxillary premolars and first molars were significantly more lingually tilted (P &lt; .05) in Class II division 1 malocclusion than in Class I occlusion. Mandibular first premolars were significantly less lingually tilted in Class II division 1 malocclusion than in Class I occlusion. No significant difference of buccolingual inclination was found in mandibular second premolars and first molars between the two groups. No significant difference in maxillary and mandibular arch width and alveolar width was found between the two groups. Conclusions: Buccolingual inclination rather than arch width and alveolar width plays an important role in transverse discrepancy of Class II division 1 malocclusion.


2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Betânia Pessoa Lima ◽  
Célia Regina Maio Pinzan-Vercelino ◽  
Laércio Santos Dias ◽  
Fausto Silva Bramante ◽  
Rudys Rodolfo De Jesus Tavarez

This study aimed to evaluate the potential correlation between the severity of Class II division 1 malocclusion and the magnitude of mesiopalatal rotation of the maxillary first molars. Scanned images of 104 cast models were grouped according to the severity of Class II malocclusion as follows: Group 1, 1/4 Class II malocclusion; Group 2, 1/2 Class II malocclusion; Group 3, 3/4 Class II malocclusion; and Group 4, complete Class II malocclusion. The rotation was measured using parameters described by Henry, Friel, and Ricketts, referred to as indicators 1, 2, and 3, respectively. The correlation was evaluated using the Spearman’s correlation coefficient. The rotational indicators were compared using one-way analysis of variance. For all statistical analyses usedp<0.05, a positive correlation was observed between the severity of Class II malocclusion and the mesiopalatal rotation of the maxillary first molar. This correlation was statistically significant for indicator 1 between Groups 1 and 3 and for indicator 2 between Groups 1 and 4, which include cases of extreme malocclusion. In conclusion, there is a positive correlation between the severity of Class II division 1 malocclusion and the magnitude of mesiopalatal rotation in the maxillary first molars.


2007 ◽  
Vol 77 (6) ◽  
pp. 1046-1053 ◽  
Author(s):  
Mirja Kirjavainen ◽  
Turkka Kirjavainen

Abstract Objective: To study the effects of cervical headgear treatment of Class II division 1 malocclusion on upper airway structures in children. Materials and Methods: Forty children aged 9.1 (7.2–11.5) years with Class II division 1 malocclusion were treated using a cervical headgear as the only treatment appliance. The headgear consisted of a long outer bow bent 15° upward and a large inner bow expanded 10 mm larger than the intermolar distance. Lateral cephalograms were taken before and after the treatment. Upper airway structures were estimated from the cephalograms. The results were compared to cross-sectional data of 80 age-matched controls with a Class I molar relationship. Results: A Class I molar relationship was achieved in all treated children. The mean treatment time was 1.6 (0.3–3.1) years. The Class II malocclusion was accompanied by a similar or wider nasopharyngeal space than in the controls but narrower oro- and hypopharyngeal spaces. The retropalatal area was widened by the treatment (P &lt; .05), whereas the rest of the oropharynx and hypopharynx remained narrower than in the controls. Before the treatment, the mandibular plane was in a more horizontal position than in the controls, but during the treatment, it rotated to a position similar to that of the controls. Conclusion: Class II division 1 malocclusion is associated with a narrower upper airway structure even without retrognathia. Headgear treatment is associated with an increase in the retropalatal airway space.


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