Phase Archwires Objectives Duration Interval Notes Early Light Elastics Guideposts in Weeks in Weeks Begun at Initial Bonding1 for Next Phase I. The extraoral examination revealed the facial characteristics typical of a Class II anterior deep bite patient with short anterior facial height deep labiomental sulcus prominent upper lip an everted lower lip and increased interlabial gap.
This distinctive occlusal variation is characterized by skeletofacial hypodivergence mandibular dentoalveolar retrusion excessive bony chin projection reduced.
Class 2 deep bite. A severe phenotype of Angles Class II Division 2 II2 malocclusion with extremely deep overbite has been called cover-bite or Deckbiss in its early German descriptions. This distinctive occlusal variation is characterized by skeletofacial hypodivergence mandibular dentoalveolar retrusion excessive bony chin projection reduced mesiodistal. A severe phenotype of Angles Class II Division 2 II2 malocclusion with extremely deep overbite has been called cover-bite or Deckbiss in its early German descriptions.
Mild Class II Div 2 End-On or Mild Class II Deep Bite Suggested Treatment Protocol For full Class II cases employ functional appliance therapy which varies greatly and full Damon System treatment. Phase Archwires Objectives Duration Interval Notes Early Light Elastics Guideposts in Weeks in Weeks Begun at Initial Bonding1 for Next Phase I. Class II div 2 Deep Bite Where is the Limit.
Patient is 46 years old with a severe Skeletal class II div 2 with extremelly retroclined incisors as you can see from the above pictures. With patients like this a question arises as to where is. Class II Division 2 malocclusion.
Problems encountered during the deep bite malocclusion lead to attrition of the lower anteriors leading to sensitivity pulpo-periodontal. A severe phenotype of Angles Class II Division 2 II2 malocclusion with extremely deep overbite has been called cover-bite or Deckbiss in its early German descriptions. This distinctive occlusal variation is characterized by skeletofacial hypodivergence mandibular dentoalveolar retrusion excessive bony chin projection reduced.
Correct class II mo lar relationship on the right side. Resolve the lower anterio r crowding and restoration of the worn out lower anterior teeth Rationale for treatment plan From the clinical examination and the CephalometriC analysis it is evident that the deep bite is due to intrusion of mo lars and extrusion of anleriors and both. Early Treatment of A Class II Division 2 Malocclusion 2.
Deep bite with adequate transverse development. The treatment plan aimed to reposition the mandible for-ward and improve tooth position. Muscular activity improve-ment of the facial muscles and a better posture of the lips were also pursued.
Therefore treatment was proposed in two. Bite patterns in the Class II category are described as having the first lower molar positioned further toward the back of the mouth than the first upper molar. This causes the upper teeth and jaws to protrude further than the lower teeth and jaws.
The bite patterns in this category are described as having the first lower molar positioned further toward the front of. CLASS II DIVISION 2 MALOCCLUSIONS 1 Occurs in about 10 of children. 2 In milder forms they may be acceptable functionally and the facial appearance can be pleasing.
3 In severe cases the over bite is very deep associated with periodontal trauma palatal to upper and labial to the lower incisors. It is more difficult to finish severe malocclusions well1Of the common malocclusions Class II Division 2 Class II2 malocclusions are the most challenging2. And extended treatment times 36 months contribute to an inferior result3The traditional treatment approaches involves headgear functional appliances andor orthognathic surgery.
One year orthodontic treatment of class II div 2 with deep bite unilateral scissor bite. The extraoral examination revealed the facial characteristics typical of a Class II anterior deep bite patient with short anterior facial height deep labiomental sulcus prominent upper lip an everted lower lip and increased interlabial gap. The incision-stomion distance which represents the extent of maxillary central incisor crown display when the lips are in a relaxed.
Case 2. An adult patient presented with a Class II Division 2 malocclusion and a significantly deep bite. The sagittal discrepancy was treated using fixed-functional auxiliaries with bonded preadjusted appliances.
The deep bite was corrected using four composite bite planes constructed on the lingual surface of the maxillary incisors. Orthodontic treatment of Class II division 2 Damon deep bite -anterior bite turbo by Dr. Amr Asker - YouTube.
For more information on Dr. Changs in-clinic hands-on workshops please visit httpiworkshopbeethoventw and register todayAll cases were treated by D. A Class II division 2 malocclusion was associated with a severe overjet and 100 deep bite due to moderately supraerupted upper incisors and excessively supraerupted lower incisors.
The upper incisors were upright and the lower incisors normally inclined. Both arches exhibited mild-to-moderate crowding. The patients profile exhibited a decreased vertical dimension indicative of his deep biteoverclosure.
Other characteristics of the profile were as follows. A deep mentolabial fold lower lip eversion and slight retrognathia. The patient presented with a classic Class II Division 2 deep bite malocclusion Fig 2.
A Class II division 2 malocclusion combined with anterior 100 deep bite rotated right lower premolar and left first buccal cross-bite was treated with al. This type of bionator is specifically for patients who had a class II div II deep bite prior to phase 1. In this video I will introduce the bionator-to-open.