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CLASS 2
MALOCCLUSON

www.indiandentalacademy.com
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com
CLASSIFICATION OF
CLASS II
MALOCCLUSION

www.indiandentalacademy.com
PURPOSE OF CLASSIFICATION
• To

localize and quantify any possible skeletal
contribution to class2 malocclusion
•To identi...
MOYERS CLASSIFICATION
 Six

Horizontal types

 Five

vertical types

www.indiandentalacademy.com
HORIZONTAL TYPES
 Type

A
 Type B
 Type C
 Type D
 Type E
 Type F

Normal skeletal ,but class2 dental

Syndromal typ...
TYPE-A (Dental class2)








Normal skeletal
profile
Mand dentition
placed normally to
its base
Max dentition is
pro...
TYPE-B (Max excess)

Mid-face prominence
Normal mandible

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TYPE-C
Retrognathic max and
mandible
Smaller facial
dimension
Dental protrusion
More in females

www.indiandentalacademy.c...
TYPE-D
Max and mand
retrognatism
Max dental
protrusion

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TYPE-E
Max prognathism
and dental
protrusion
Mand dental
protrusion

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TYPE-F
It is a large heterogeneous group
with mild skeletal class2
tendencies
It is a milder form of types B,C,D,E.

www.i...
VERTICAL TYPES
 The

five vertical types are not as clearly
differentiated as the four syndromal
horizontal types

www.in...
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TYPE-1 (Steep mandibular plane or high angle case)
 Mand

plane
and occlusal
plane are
steeper than
normal
 Palate tippe...
TYPE-2 “ Square face”

 MP,PP,OP

and ACB
are more
horizontal

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TYPE-3
 PP

tipped
up ant
 Dec ant
face ht
 Open bite

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TYPE-4
 PP,MP,OP

all

are tipped
down leaving
lip line high
 Horz B

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TYPE-5
 PP

tipped
down ant
 Deep bite

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Skeletal

CLASS 2
Dental

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A skeletal Class II - fault with the maxilla
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A skeletal Class II - fault with the mandible
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A skeletal Class II - vertical
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DENTAL CLASS-2


Maxillary Dental protrusion



Mesial drift of the maxillary first permanent molars
Congenital disease ...
Primary dentition
Pre-adolescents
Treatment of class 2
Adolescents

Adults
www.indiandentalacademy.com
Pre school children (primary
dentition)

Flush terminal

Distal step

Mesial step

Mandibular deficiency can be recognized...
 Growth

modification can be used to correct
distal step easily
 As growth continues the discrepancy tends to
recur as q...
Treatment of pre-adolescent
children's

www.indiandentalacademy.com
 In

early years of 20th century

Pressure against growing face( head gear )
• Angle introduced class 2 elastics to posit...
 Head

gear was re-introduced in 1940s

ceph analysis clearly demonstrated not only
retraction of upper teeth but also ef...
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Thank You
www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com
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Class2 malocclusion /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

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Class2 malocclusion /certified fixed orthodontic courses by Indian dental academy

  1. 1. CLASS 2 MALOCCLUSON www.indiandentalacademy.com
  2. 2. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  3. 3. CLASSIFICATION OF CLASS II MALOCCLUSION www.indiandentalacademy.com
  4. 4. PURPOSE OF CLASSIFICATION • To localize and quantify any possible skeletal contribution to class2 malocclusion •To identify dental displacement associated with the class2 malocclusion. •To assign the patient to one of the class2 types www.indiandentalacademy.com
  5. 5. MOYERS CLASSIFICATION  Six Horizontal types  Five vertical types www.indiandentalacademy.com
  6. 6. HORIZONTAL TYPES  Type A  Type B  Type C  Type D  Type E  Type F Normal skeletal ,but class2 dental Syndromal types of class2 Mild skeletal features www.indiandentalacademy.com
  7. 7. TYPE-A (Dental class2)     Normal skeletal profile Mand dentition placed normally to its base Max dentition is protracted resulting in class2 molar relation Increased over-jet and over-bite www.indiandentalacademy.com
  8. 8. TYPE-B (Max excess) Mid-face prominence Normal mandible www.indiandentalacademy.com
  9. 9. TYPE-C Retrognathic max and mandible Smaller facial dimension Dental protrusion More in females www.indiandentalacademy.com
  10. 10. TYPE-D Max and mand retrognatism Max dental protrusion www.indiandentalacademy.com
  11. 11. TYPE-E Max prognathism and dental protrusion Mand dental protrusion www.indiandentalacademy.com
  12. 12. TYPE-F It is a large heterogeneous group with mild skeletal class2 tendencies It is a milder form of types B,C,D,E. www.indiandentalacademy.com
  13. 13. VERTICAL TYPES  The five vertical types are not as clearly differentiated as the four syndromal horizontal types www.indiandentalacademy.com
  14. 14. www.indiandentalacademy.com
  15. 15. TYPE-1 (Steep mandibular plane or high angle case)  Mand plane and occlusal plane are steeper than normal  Palate tipped down ACB tipped up www.indiandentalacademy.com
  16. 16. TYPE-2 “ Square face”  MP,PP,OP and ACB are more horizontal www.indiandentalacademy.com
  17. 17. TYPE-3  PP tipped up ant  Dec ant face ht  Open bite www.indiandentalacademy.com
  18. 18. TYPE-4  PP,MP,OP all are tipped down leaving lip line high  Horz B www.indiandentalacademy.com
  19. 19. TYPE-5  PP tipped down ant  Deep bite www.indiandentalacademy.com
  20. 20. Skeletal CLASS 2 Dental www.indiandentalacademy.com
  21. 21. A skeletal Class II - fault with the maxilla www.indiandentalacademy.com
  22. 22. A skeletal Class II - fault with the mandible www.indiandentalacademy.com
  23. 23. A skeletal Class II - vertical www.indiandentalacademy.com
  24. 24. DENTAL CLASS-2  Maxillary Dental protrusion  Mesial drift of the maxillary first permanent molars Congenital disease or loss of the primary teeth Ectopic molar eruption Interarch tooth size discrepancy Affects only lips www.indiandentalacademy.com
  25. 25. Primary dentition Pre-adolescents Treatment of class 2 Adolescents Adults www.indiandentalacademy.com
  26. 26. Pre school children (primary dentition) Flush terminal Distal step Mesial step Mandibular deficiency can be recognized by age 3 www.indiandentalacademy.com
  27. 27.  Growth modification can be used to correct distal step easily  As growth continues the discrepancy tends to recur as quickly as it was corrected.( both AP and Vertical skeletal discrepancy)  Except in most severe case it is unwise to begin treatment www.indiandentalacademy.com
  28. 28. Treatment of pre-adolescent children's www.indiandentalacademy.com
  29. 29.  In early years of 20th century Pressure against growing face( head gear ) • Angle introduced class 2 elastics to position mandible forward •At later stage in US fixed guide planes were used to force pts to advance the mandible upon closure With advent of ceph it became clear that both elastics and guide planes corrected www.indiandentalacademy.com class2 by mand dental protrusion
  30. 30.  Head gear was re-introduced in 1940s ceph analysis clearly demonstrated not only retraction of upper teeth but also effects on max growth  In Europe efforts to stimulate mandibular growth led to the devt of a family of “functional appliances”. www.indiandentalacademy.com
  31. 31. www.indiandentalacademy.com
  32. 32. www.indiandentalacademy.com
  33. 33. www.indiandentalacademy.com
  34. 34. www.indiandentalacademy.com
  35. 35. www.indiandentalacademy.com
  36. 36. www.indiandentalacademy.com
  37. 37. www.indiandentalacademy.com
  38. 38. www.indiandentalacademy.com
  39. 39. www.indiandentalacademy.com
  40. 40. www.indiandentalacademy.com
  41. 41. www.indiandentalacademy.com
  42. 42. www.indiandentalacademy.com
  43. 43. www.indiandentalacademy.com
  44. 44. www.indiandentalacademy.com
  45. 45. www.indiandentalacademy.com
  46. 46. www.indiandentalacademy.com
  47. 47. www.indiandentalacademy.com
  48. 48. www.indiandentalacademy.com
  49. 49. www.indiandentalacademy.com
  50. 50. www.indiandentalacademy.com
  51. 51. www.indiandentalacademy.com
  52. 52. www.indiandentalacademy.com
  53. 53. www.indiandentalacademy.com
  54. 54. www.indiandentalacademy.com
  55. 55. www.indiandentalacademy.com
  56. 56. Thank You www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com

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