scholarly journals Correction of Class II Division 2 Deepbite Malocclusion with Non-extraction Therapy

2013 ◽  
Vol 3 (1) ◽  
pp. 73-75
Author(s):  
Situ L Shrestha ◽  
Supreeth S Manipal ◽  
Bikash V Shrestha ◽  
Alok K Jaiswal

The article presents a case report of a teen age girl with Class II Division 2 malocclusion with deep over bite. The case was treated on non-extraction basis using 0.018 pre-adjusted edgewise appliance with anterior bite plate (monobloc) to correct deep bite and forward placement of the mandible. Use of Class II elastics helped to achieve Class I canine and molar retention. Treatment was completed in 22 months with good occlusion and facial esthetics. DOI: http://dx.doi.org/10.3126/ojn.v3i1.9287 Orthodontic Journal of Nepal, Vol.3, No.1, 2013: 73-75

Author(s):  
Shamima Nargish ◽  
Md Zakir Hossain

We describe the treatment of a girl, age 18 years with Class II div-2 malocclusion with deep bite and crowding. Treatment consisted mainly of bite opening, 1st premolars extractions, canine retraction, arch co-ordination, leveling and alignment with Edgewise fixed appliances by multiloop technique. However the treatment resulted in Class I incisor relation with proper alignment of upper and lower anterior segment, an ideal overjet, overbite and incisor angulations. Ban J Orthod & Dentofac Orthop, April 2016; Vol-6 (1-2), P.29-34


2013 ◽  
Vol 3 (1) ◽  
pp. 50-56
Author(s):  
MT Mustafa

Inter-arch elastics and reverse curve arch wire can be used successfully in the treatment of deep bite malocclusions and are two of the most common methods available for treating class II malocclusions . Careful diagnosis and treatment planning is primordial for choosing the right treatment modality which can vary from patient to patient. The subject treated in this study was a 14 years old female patient with a Class II division 2 Angle’s malocclusion having a skeletal deep bite of around 6 mm and an overjet of 1.5mm, deep curve of spee, coinciding upper and lower arch midlines with that of the facial midline. After analysis made, the case was treated without any extraction due to the fact that she was a low mandibular angle patient with minimal amount of crowding in both the arches and also a Combination Factor of 171.5° (greater than 155.9°) which represents the balance of both the vertical and horizontal dimensions. The Anterior Posterior Dysplasia Indicator value fell within the normal range indicating a Class I horizontal maxillo-mandibular relationship. The duration of the treatment was around 20 months. After achieving the goals of the treatment, cephalogram was taken and the pre and post treatment variables compared. The correction of the deep overbite condition was achieved successfully along with the correction of the molar relationship into a Class I malocclusion. U1-SN has increased by 50.0 and L1-NA increased by 4.50 together with a decrease in the inter-incisal angle by 8.50 contributing to a decrease in bite depth. The assessment of the cephalometric findings showed that the lower anterior facial height change was minimal but not insignificant partly due to the continued growth of the mandible which can be confirmed through the values of FMA which shows an increase in 20.0, Facial Height Index dropping from 0.89 to 0.88 and the TPFH:TAFH values decreasing by 0.8%. But this change was not enough to have a positive impact on the facial appearance of the subject. Change in the molar relationship was aided by the use of inter-arch elastics and the deep bite correction facilitated by the slight rotation of the occlusal plane caused by extrusion of lower first molar along with the flaring of the lower incisors induced through the use of the reverse curve arch wire. So it was confirmed that the combined use of inter arch elastics & reverse curve arch wire help to correct the class II division 2 malocclusion along with some improvement for increasing the lower anterior facial height.


Author(s):  
Hasnat Jahan ◽  
Himadri Shekhar Roy Chowdhury ◽  
Mohammad Emadul Haq ◽  
Md Zakir Hossain

A patient of 21 years old presented with Class II division 2 malocclusion and deep overbite, was treated by fixed orthodontic therapy. After completion of the treatment, extreme deep bite was corrected, proclination of upper anterior teeth and patient was satisfied with new position of his upper anterior teeth. DOI: http://dx.doi.org/10.3329/bjodfo.v2i2.16166 Ban J Orthod & Dentofac Orthop, April 2012; Vol-2, No.2, 46-47


Author(s):  
Sharmin Sultana ◽  
Md Zakir Hossain

This case report describe the management of a 22 years old male patient having class II div 2 malocclusion with traumatic deep bite. Intraoral examination revealed that patient had lingually inclined maxillary central incisor, labially flared maxillary lateral incisors, exaggerated lower curve of spee, and moderate crowding in lower jaw. Patient also tend to exhibit deep mentolabial sulcus and unaesthetic smile. Anterior flat bite plane was treatment plan for improving deep bite and also Mandibular downward backward rotation and Camouflage nonextraction treatment was decided for this patient because presence of lower crowding which is easy to correction and flare lower incisor for improving overjet and interincisal angle.Ban J Orthod & Dentofac Orthop, April 2015; Vol-5 (1-2), P.33-36


2018 ◽  
Vol 12 (1) ◽  
pp. 623-630
Author(s):  
Thomas Starch-Jensen ◽  
Annette Dalgaard Kjellerup

Introduction: Skeletal Angle Class I patients with a severe dental Class II malocclusion are characterized by an unfavourable anterior-posterior relationship between the anterior dentoalveolar area and the skeletal base. Orthodontic alignment posing various treatment difficulties and surgical correction with bilateral sagittal split osteotomy may result in a compromised facial profile. Hence, anterior mandibular segmental distraction osteogenesis has been proposed as an alternative treatment modality for solving facial esthetics, anterior tooth crowding and an unfavourable relationship between the anterior dentoalveolar area and the skeletal base in skeletal Angle Class I patients with a severe dental Class II malocclusion. Limited skeletal relapse with predictable soft tissue changes have been documented in long-term studies. Thus, anterior mandibular segmental distraction osteogenesis seems to be a valuable and predictable surgical method for correction of selected cases of skeletal Class I patients with a severe dental Class II malocclusion. Case report: The purpose of this case report is to present the treatment of a 57-year-old female with a skeletal Angle Class I relation and a severe dental Class II malocclusion. Anterior mandibular segmental distraction osteogenesis as well as discussing the current knowledge about this treatment modality. Conclusion: The present case report illustrates that establishment of a harmonious relationship between the maxillary and mandibular arch in patients with a skeletal Angle Class I relation and a severe dental Class II malocclusion using anterior mandibular segmental distraction osteogenesis seems to be a predictable and applicable surgical method for selected cases and General Dental Practitioners, orthodontics and maxillofacial surgeons must have knowledge of this treatment modality.


2016 ◽  
Vol 04 (03) ◽  
pp. 201-203
Author(s):  
Shweta Dixit ◽  
Garima Gupta ◽  
Pooja Sharma ◽  
Sameer Gupta

Abstract Aims and Objectives: Deep bite is one of the common malocclusion which has a varied of etiologies; this case report includes correction of deep bite with help of anterior bite plane. Materials and Methods: One post pubertal patient of age 15 years with proclined maxillary incisors with class II skeletal and class II molar treated with fixed orthodontic appliance with anterior bite plane. Results: It resulted in favorable skeletal and dentoalveolar changes. Midlines were coinciding, molars were in class I relationship and smile was improved. Conclusion: Using anterior bite plane corrected class II deep bite in patient, corrected lip trap and proclined maxillary incisors.


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.


Author(s):  
Zahra Ali Mehtari ◽  
Mehdi Rafiei ◽  
Saeed Azarbayjani ◽  
Neda Ahmadi Rouzbehani ◽  
Amir Hossain Moeini

Introduction: Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders diagnosed by impairments in social interaction and communication with repetitive and restrictive stereotyped behavioral patterns. The Prevalence of autism has been reported to be increased in recent years. This study aimed to assess the prevalence of different types of malocclusion among ASD patients in Isfahan in 2018. Materials & Methods: In a descriptive and cross-sectional trial, 92 ASD patients were studied in the age range of 7-18 years at the center for autism patients in Isfahan. Clinical oral examinations of patients are taken to assess the involved malocclusions (Cl I, Cl II and Cl III malocclusions) and malocclusion traits (deep bite, open bite and cross bite) by an educated dental student under the supervision of an orthodontist under natural light. The data are reported using frequency and percentage indices. Results: Class I malocclusion had the highest prevalence 54.3% (50) among ASD patients and the prevalence of class II and class III were found to be 19.6% (18) and 7.6% (7) respectively. The frequency of malocclusions traits of deep bite, cross bite and the open bite were 27.2% (25), 18.5% (17) and 7.6% (7) respectively. Among of the total patients, 65.2% (60) showed normal bite and 18/5% (17) showed Normal occlusion. Conclusion: ASD patients showed class I, class II and class III malocclusions from the most to least frequency and the most frequent malocclusion traits were also deep bite, cross bite and open bite respectively.


2017 ◽  
Vol 03 (04) ◽  
Author(s):  
Ramirez Silvia ◽  
Siguencia Valeria ◽  
Garcia Andres ◽  
Bravo Manuel

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