Professional Documents
Culture Documents
Deepbite
Deepbite
Deepbite
DEEP BITE
Increased Overbite
o Incisors have erupted past each other.
o > 4mm or 1/3 of the lower incisor is covered by
the upper incisor
o Often associated with reduced vertical
facial proportions.
Increased Overbite
o Associated to any other type of posterior
occlusion.
o One of the most frequent MO
o Problem when it:
o Alters the masticatory function.
o Alters the condylar function.
o Esthetic implications
Etiopathology & Diagnosis
o Strong genetic influence
o Short face pattern
o Skeletal mandibular deficiency
o Incidence varies depending on race.
o Reduced eruption of M
o Excessive eruption of I
Etiopathology & Diagnosis
CLINICAL EXPLORATION
o Tendency to present class II M & C
o Increased overjet
o Camouflaged by crowding!
o TMJ problems
o Excessively retruded position of the condyles?
Treatment
Objectives
o Correct/control over-eruption of incisors.
o Stimulate eruption of posterior teeth.
o Functional appliance
Mechanotherapy
Relative incisor intrusion / Buccal segment
extrusion
o Fixed appliances:
o Buccal segment extrusion
o Incisor intrusion
o Tendency for the lower incisors to procline, but
may not be desirable or stable.
Mechanotherapy
Deep overbite associated with an increased
curve of Spee in the lower arch:
o Incisor intrusion
Mechanotherapy
True intrusion of the incisors
o In cases with a long face tendency and a class
II malocclusion
o Molar extrusion ! undesirable clockwise rotation of
the mandible.