vertical/ open and deep bites Flashcards
over bite
amount of overlap of man I by max I
ideal overbite
20% +/-5
is overbite amt directly related to malocc severity
no
etiological factors of overbite
what is class 2 div 2 occ?
class 2 molar relation with retroclined max I
growth considerations with overbite
if pts has deepbite, will it improve with growth?
no, sometimes may even increase
deepbites and overeruptions
can result from over eruption of incsiors on either arch
what is causing this deepbite?
over eruption of max I
what has occured here, tx?
over eruption of both arches incisors relative to occ plane
tx would include intruding both incisors sets
correcting two step occ planes with deep bites
use of two wire set to place intrusive force on incisors
leveling curve of spee in some deep bite cases
may need to be corrected if occlusal plane is in multiple planes
can be done by:
relapse with overbite/deepbite?
high tendency
how can we avoid relapse with deepbite cases?
steps to tx deepbite with only man I extrusion
bite opening will allow space for brackets
when can bite blocks be removed for deepbite cases with only man I intrusion?
once the I are intruded the bite blocks can be removed
posterior segment extrusion
may lead to deep bite, can be tx with bite plate at night to create space for eruption of antagonists and with lower intrusion arch
cervical HG therapeutics
can be used to correct class 2 molar relations and extrude molars by halting maxilla growth displacement and allowing mandible to catch up.
intrusion arch for max I, lower molar eruption with a bite plate
open bite etiologies
multifactorial etiologies of openbite
open bite:
* present in?
* etiologies defined?
* studies?
* relapse?
facial types associated with open bite
means long faces
lips of open bite
altered support and seal
upper I show of open bite
can show at rest but also variable