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5edfe401 235
5edfe401 235
5edfe401 235
CONSIDERATIONS IN
TREATMENT PLANNING
Age
A patient with a deep traumatic overbite is best
treated while still growing, when correction
may be relatively straightforward and before
any long-term periodontal damage occurs.
Growth modification using various functional
appliances with capping of the mandibular
incisors or a simple upper removable appliance
with an anterior bite-plane may be used.
In non-growing patients any extrusion of the
buccal segments tends to be unstable due to
stretching of the pterygo-masseteric sling.
Therefore true intrusion of the incisor teeth is
required, and possibly surgical correction using
a combined orthodontic and orthognathic
approach.
Incisor Relationship
Class II division 1 malocclusion. A significant
Class II skeletal pattern, depending on age,
requires growth modification or mandibular
advancement surgery. However, if the Class
II division 1 incisor relationship is on a Class
I or mild Class II skeletal pattern, then treatment will involve orthodontic mechanics to
correct the inclinations and vertical position
of the incisor teeth.
235
STABILITY OF OVERBITE
CORRECTION
The stability of overbite reduction depends on
a number of factors that must be taken into
account from the treatment planning stage: