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1. 113-Early Treatments in Orthodontics
Class II Division 2, malocclusion with Deep Overbite
Awatef SHAAR (BAU-LB), Orthodontist.
Mohamad ABOULNASER- Orthodontist, BAU, Connecticut, USA.
Oussama SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F ,
S.Q.O.D.F, Paris. France.
Contact: dr.aboualnaser@hotmail.com
www.orthofree.com

2. •Do Deep Overbites require correction ?
If not treated, deep bites can result
* In trauma to the palatal mucosa, occlusal trauma (1) behind the upper
incisors or to the labial gingiva of the lower incisors, root dehiscence (2).
*Excessive attrition (3) of anterior teeth, and Bruxism
(1)
(3) (2)
http://pocketdentistry.com/12-class-ii-division-2-malocclusions/
Oussama SANDID- Mohamad ABOUALNASER- Awatef SHAAR

3. Do Deep Overbites require correction ?
Overbites co-contributing factor in the aetiology of TMD, (abnormal TMJ
movements), locking mandibular growth
Australian Society of Orthodontists
Oussama SANDID- Mohamad ABOUALNASER- Awatef SHAAR

4. http://www.apospublications.com/article.asp?issn=2321-1407;year=2013;volume=3;issue=3;spage=89;epage=93;aulast=Garlapati
Early treatment unlocking the bite in class II division 2, unlocking mandibular
growth, Avoid surgical treatment in adults, Improved smile, esthetic benefits
Do Deep Overbites require correction ?
Oussama SANDID- Mohamad ABOUALNASER- Awatef SHAAR

5. http://www.apospublications.com/article.asp?issn=2321-1407;year=2013;volume=3;issue=3;spage=89;epage=93;aulast=Garlapati
Early treatment unlocking the bite in class II division 2, unlocking mandibular
growth, Avoid surgical treatment in adults, Improved smile, esthetic benefits
Do Deep Overbites require correction ?
Oussama SANDID- Mohamad ABOUALNASER- Awatef SHAAR

6. http://www.scielo.br/scielo.php?pid=S1808-86942014000800001&script=sci_arttext&tlng=en
http://www.snoringmouthpieceguide.com/can-an-overbite-cause-snoring/
Can an overbite - Retrognathia cause snoring ?
Oussama SANDID- Mohamad ABOUALNASER- Awatef SHAAR

7. 10-Early Treatments in Orthodontics -Class II, Division 2,
malocclusion with Deep Overbite
• Surgery or orthodontics: Retroclined upper central incisors, proclined
laterals, and increased overbite in a class II div 2 case
• Deep bite, Gingival Recession in the Lower Incisor…
Oussama SANDID- Mohamad ABOUALNASER- Awatef SHAAR

8. 10-Early Treatments in Orthodontics -Class II, Division 2,
malocclusion with Deep Overbite
• TRAUMA to the palatal mucosa
www.orthodontisteenligne.com
Oussama SANDID- Mohamad ABOUALNASER- Awatef SHAAR

9. Class II divison 1-Excessive attrition of anterior
teeth
• Especially lower incisors, is often associated with a deep anterior
overbite and bruxism
Dr Nabil AL ZUBAIR

10. • 1- Jaw pain, Headaches, TMJ
pain
• 2-Teeth grinding, Cementum
erosion
• 2a- Enamel wear contribute to
the problem along with slurry
speech, particularly among
older patients. As the patient
gets older the bite gets deeper
which makes the malocclusion
worse.
• - Deep bites interfere with
clear speech.
• 3- Change the structure of the
face, mouth and smile.
• 3a- The shape of the face is
short and round and the chin
looks too small even when it is
actually normal in size. The
abnormal teeth alignment
contributes to the
malocclusion and the shape of
the patients face.
Symptoms-Deep bite
Oussama SANDID- Mohamad ABOUALNASER- Awatef SHAAR

11. • BEFORE AFTER
https://www.nso.net.au/before-and-afters/
Class II divison 2
Oussama SANDID- Mohamad ABOUALNASER- Awatef SHAAR

12. 10-Early Treatments in Orthodontics -Class II, Division
2, malocclusion with Deep Overbite
• If not treated, deep bites can result in:
• TRAUMA to the palatal mucosa
• - behind the upper incisors or
• - to the labial gingiva of the lower incisors
• This can result in
• Painful soft tissue and periodontal defects
• overbites greater than 40% as excessive,
compromising the periodontal tissues and acting
as a co-contributing factor in the aetiology of
TMD.