scholarly journals Treatment of a Class II Division 2 malocclusion with Cover Bite and Severe Crowding in an Adult patient

2015 ◽  
Vol 3 (2) ◽  
pp. 29-31
Author(s):  
Nabila Anwar ◽  
Gazi Shamim Hassan ◽  
Ranjit Ghosh ◽  
Mahmood Shajedeen
Keyword(s):  
Adult Patient ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Class Ii ◽  
Deep Bite ◽  
Fixed Appliance ◽  
Angle Class Ii ◽  
Maxillary Lateral Incisor ◽  
Division 2 ◽  
Lower Incisors

This case report describes the orthodontic treatment of an adult patient, who presented an Angle Class II division 2 malocclusion, with deep traumatic overbite, retroclined incisors with proclined left  maxillary lateral incisor and mild gingival recessions. Treatment of an adult Class II patient requires careful diagnosis and a treatment plan involving esthetic, occlusal, and functional considerations. The patient was treated with extraction of four first premolars to relieve crowding, with simultaneous correction of the deep bite by intrusion of the upper and/or lower incisors using fixed appliance mechanotherapy.Ban J Orthod & Dentofac Orthop, April 2013; Vol-3, No.2

scholarly journals A Case report of Class II Division 2 Malocclusion in Adult women treated by Fixed appliance with CIA and removable anchor plate incorporated bite plane: Biomechanical Considerations

2013 ◽  
Vol 1 (2) ◽  
pp. 18-24
Author(s):  
MH Sattar
Keyword(s):  
Class Ii ◽  
Nickel Titanium ◽  
Molar Tooth ◽  
Anchor Plate ◽  
Deep Bite ◽  
Anterior Teeth ◽  
Soft Tissue Profile ◽  
Division 2 ◽  
Gummy Smile ◽  
Lower Incisors

This article describes our treatment of Class II, division 2 adult patients requiring premolar extractions. Division 2 cases are often characterized by severe deep bites, lingually inclined upper central and lower incisors, and labially flared maxillary lateral incisors. This patients also tend to exhibit problems with the upper and lower occlusal planes, such as deep curves of Spee, High lip line, marked labiomental depression. Because of the deep bite and supra eruption of the maxillary incisors, the gingival margins of the maxillary anterior teeth are malaligned, and the lingually inclined mandibular incisors have excessively high gingival margins ( Fig. 1 ). The treatment protocol for this patients includes extraction of premolars both upper and lower in right side to relieve crowding, with simultaneous correction of the deep bite by intrusion of the upper and/or lower incisors. Intrusion mechanics are performed with a bite opening bend on a preformed nickel titanium arch wire. Space closure is accomplished with power chain and guard behind the extracted site in anchor plate. Extraction of upper premolar and lower 1st molar (tooth no 36) in left side was done earlier. A 21 years old women with Cl-II Div-II malocclusion type B came to Dental Centre, Dhaka, with chief complaint of an unhappy smile. Retroclined 4 Incisors, Deep bite, Crowding, deficient lower facial height, Gummy smile and a moderately convex hard- and soft-tissue profile because of a retrusive mandible with over jet of 1.5mm and over bite of 6 mm was observed. The mechanics plan should be individualized based on the specific treatment goals. Camouflage Treatment was done with the help of an anchor plate incorporated anterior incline plane. Intrusion mechanics are performed with preformed nickel titanium Connecticut Intrusion Arch (CIA) and anchor plate incorporated bite plane. Treatment was successfully completed with extractions of both pre-molars in right side and left lower 1st molar (Tooth no 36) and upper 1st premolar(Tooth no 24) already extracted ( Fig. 2 A) before starting of orthodontic treatment. Treatment of 20 months which improves incisor inclination, Deep bite correction; eliminate crowding, normal smile line and improvement of gummy smile. With the above mentioned protocol normal inclination of both upper-lower incisor, normal over jet and over bite were also achieved. DOI: http://dx.doi.org/10.3329/bjodfo.v1i2.15987 Ban J Orthod & Dentofac Orthop, April 2011; Vol-1, No.2, 18-24

scholarly journals Comparison of intercanine width in between Angle class II division 1 and division 2 malocclusions

2016 ◽  
Vol 28 (2) ◽  
Author(s):  
Bebby Putri ◽  
Isnaniyah Malik ◽  
N R Yuliawati Zenab
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Dental Arch ◽  
Arch Width ◽  
Angle Class Ii ◽  
Angle Class ◽  
Division 1 ◽  
Dental Arch Width ◽  
Division 2 ◽  
Class Ii Division 1

Introduction: Dental arch width measurement is needed to determine diagnoses and orthodontic treatment planning of Angle Class II Division 1 and Class II Division 2  malocclusions that have narrow maxillary dental arch generally. Dental arch width in this study was measured by maxillary and mandibular intercanine width.  This study aimed to compare the differences of intercanine width between Angle Class II division 1 and Class II division 2 malocclusions. Methods: Descriptive comparative research with total samples of 67 study models, consisted of 34 Class II division 1 cases and 33 Class II division 2 cases. The minimum age of the samples chosen was 13 years old with no history of orthodontic treatment. A non probability consecutive sampling technique was used. Results: Study results showed the avarage maxillary and mandibular intercanine width of Class II Division 1 were 33,99 mm and 26,33 mm. Average maxillary and mandibular intercanine width of Class II Division 2 were 34,77 mm and 25,37 mm. Conclusions: T-test analysis showed no statistical significant differences in the intercanine width between Angle Class II Division 1 and Class II Division 2  malocclusions.

scholarly journals Correction of Class II Division 2 Malocclusion with Traumatic deep bite -Non-extraction Therapy

2018 ◽  
pp. 33-36
Author(s):  
Sharmin Sultana ◽  
Md Zakir Hossain
Keyword(s):  
Treatment Plan ◽  
Class Ii ◽  
Central Incisor ◽  
Lower Incisor ◽  
Deep Bite ◽  
Maxillary Central Incisor ◽  
Curve Of Spee ◽  
Lower Jaw ◽  
Extraction Therapy ◽  
Division 2

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

scholarly journals Dentofacial changes after treatment with prefabricated functional appliance T4CII

2013 ◽  
Vol 60 (2) ◽  
pp. 93-98
Author(s):  
Ema Aleksic ◽  
Maja Lalic ◽  
Jasmina Milic ◽  
Mihajlo Gajic ◽  
Zdenka Stojanovic
Keyword(s):  
Female Patient ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Dental Arch ◽  
Functional Appliance ◽  
Orthodontic Appliance ◽  
Deep Bite ◽  
Fixed Appliance ◽  
Division 1 ◽  
Class Ii Division 1

Introduction. Functional maxillary orthodontics has a large number of different mobile devices with different effects on craniomandibular system and great capabilities in solving many orthodontic problems. The aim of this article was to show the effects of 9-month treatment of malocclusion class II, division 1 in a 14-year-old female patient using pre-fabricated functional appliance Trainer T4CII. Case Outline. Skeletal distal relation, deep bite, increased overjet, narrowness and irregular position of upper and lower frontal teeth are indicated for orthodontic treatment with fixed appliance. After refusal of fixed appliance therapy, a female patient was proposed treatment with mobile orthodontic appliance. A pre-fabricated functional appliance Trainer T4CII was delivered to the patient. She was motivated and she was wearing appliance at night and 2-3 hours during the day. After 9 months of treatment there was a significant improvement in the position of upper and lower frontal teeth and reshaping of upper and lower dental arch, yet overbite and overjet were corrected. Conclusion. Surprisingly good and fast improvement of all problems within class II, division 1 in a 14-year-old patient was achieved with prefabricated functional appliance Trainer T4CII.

scholarly journals Clinical aspects of Angle class II/1 malocclusion during the eruption of the 12-year-old molar

2017 ◽  
Vol 63 (3) ◽  
pp. 119-123
Author(s):  
Ionela Teodora Dascălu ◽  
◽  
Adina Magdalena Bunget ◽  
Evantia Coleş ◽  
P. Mărăşescu ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Clinical Case ◽  
Class Ii ◽  
Etiological Factor ◽  
Clinical Aspects ◽  
Case Presentation ◽  
Fixed Appliance ◽  
Angle Class Ii ◽  
Angle Class

Introductions. The vicious habit of sucking the thumb is an etiological factor of Angle Class II/1 malocclusion. Case presentation. In the clinical case that we intend to present, the main goal of the treatment was to recover the occlusion and the functions of the dento-maxillary complex. The treatment relied on the use of a fixed appliance. The sagittal inocclusion was thus reduced and the parameters of occlusion were brought to normality. Conclusions. We consider that the period of orthodontic treatment was reduced because the climax of the bones growth took place at the same time with the eruption of the 12-year-old molars.

scholarly journals Treatment technique: A clinical & Practical sequences in the Management of Angle Class II Malocclusion (Maxillary Protrusion)

2013 ◽  
Vol 1 (1) ◽  
pp. 27-37
Author(s):  
MZ Hossain
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Treatment Technique ◽  
Fixed Appliance ◽  
Post Graduate ◽  
Angle Class Ii ◽  
Angle Class ◽  
Postgraduate Studies ◽  
Dentofacial Orthopedics

This paper is mainly intended for postgraduate orthodontic students especially for those who will learn and practice the Fixed Appliance Technique. With the advancement of research, introduction of new biomaterials and techniques, the orthodontic treatment has been scientifically affordable for the last few decades. In Bangladesh the orthodontic treatment and education is also becoming very popular in the private and institutional level day by day. In fact, post-graduate trainee doctors in the department of orthodontics & Dentofacial Orthopedics, Dhaka Dental College and Hospital were the once who had the idea of writing this paper. While supervising & conducting FCPS Part II examination as a convener, I felt this sort of clinical and technical review would be very helpful for the trainees as well as practitioners. Keeping that thought in my mind, I also intend to write a series of papers that will contain the basic as well as contemporary orthodontic techniques and philosophy. Post-graduate trainee doctors, faculty members and private practitioners will all find this paper as a guideline during their training as well as in professional practicing period. I am very much delighted to present this paper and series of papers in the next subsequent issues. The present paper describes training techniques, the design of standard edge-wise-technique in sequential stages for treating Angle Class II maxillary protrusion with excessive over jet, overbite (upper and lower 1st premolar extraction case), and illustrated case reports1,2 of class II malocclusion. The author acknowledges that the paper is summarized from lectures, handouts during his postgraduate studies in Kyushu University and Hiroshima University, Japan and also clinical experience acheived from the Department of Orthodontics and Dentofacial Orthopedics, Dhaka dental College and Hospital and private practice in Bangladesh. DOI: http://dx.doi.org/10.3329/bjodfo.v1i1.15976 Ban J Orthod & Dentofac Orthop, October 2010; Vol-1, No.1, 27-37

scholarly journals Class II Division 2 subdivision left malocclusion associated with anterior deep overbite in an adult patient with temporomandibular disorder

2017 ◽  
Vol 22 (4) ◽  
pp. 102-112
Author(s):  
Ivan Toshio Maruo
Keyword(s):  
Adult Patient ◽  
Temporomandibular Disorder ◽  
Class Ii ◽  
Chief Complaint ◽  
Poor Correlation ◽  
Present Case Report ◽  
Angle Class Ii ◽  
The Poor ◽  
Dentofacial Orthopedics ◽  
Division 2

ABSTRACT The orthodontic treatment of patients with chief complaint of temporomandibular disorders (TMD) presents doubtful prognosis, due to the poor correlation between malocclusions and TMDs. The present case report describes the treatment of an adult patient with Angle Class II Division 2 subdivision left malocclusion associated with anterior deep overbite and TMD. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO), as part of the requirements to obtain the title of BBO Diplomate.

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
Keyword(s):  
Class Ii ◽  
Deep Bite ◽  
Common Features ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Skeletal Pattern ◽  
Almost All ◽  
Division 2 ◽  
Lower Incisors ◽  
Class Ii Division 1

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.

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