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220-Early Treatments in Orthodontics
Class II Division 2, malocclusion with Deep Overbite
2010
Olivier Oussama SANDID-
Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F
.
Contact: dr.aboualnaser@hotmail.com
•
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
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
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
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
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
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
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
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
• 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
• BEFORE AFTER
https://www.nso.net.au/before-and-afters/
Class II divison 2
Oussama SANDID- Mohamad ABOUALNASER- Awatef SHAAR
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.

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220-early treatments inorthodontics- classii division 2 malocclusion with deep overbite-oussama sandid-mohamad aboualnaser-awatef shaar-orthodontist-orthodontist.pdf

  • 1. 220-Early Treatments in Orthodontics Class II Division 2, malocclusion with Deep Overbite 2010 Olivier Oussama SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F . Contact: dr.aboualnaser@hotmail.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
  • 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.