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Reversed Occlusion
Reversed Occlusion
Reversed Occlusion
by
Shigetaka SUZUKI*
Literature dealing with the protrusion of lower jaw is rather plentiful and also
Tesearches in the light of hereditary are by no means scanty. TWAGAKIstates in his
report that the occurrence of lower protrusion is quite frequent among the Japanese
amounting as much as 6%. In his attempt to throw further light on the subject , the
author has adopted a four-fold classification as follows and the occurrences of lower
protrusions on the part of orthodontic patients treated in the Orthodontic Clinic of Nihon
University School of Dentistry have been Examined in terms of this classification so as
to compute respective percentages.
1) A class where reverse occlusion is clearly traceable in the family.
2) A class in which slight trace of reverse occlusion is found among the near
relatives upon close examination.
3) A class in which the occurrence of reverse occlusion takes place independent
of others.
4) A class in which the facial features indicate lower protrusion but the occlusion
is in a normal state.
As an additional inquiry, 8760 college students were subjected to an examination
for the purpose of selecting from among them those with the so-called reverse protru-
sion. As a result, it revealed that of 8750 samples 426 were found to be suffering from
reverse protrusion (4.8%±0.72%).
51
52
TABLE 1
TABLE 2
that the occurrence of the so-called reverse occlusion may be sought not only in those
of hereditary factors but also in abnormal growth due to insufficiency of internal secre-
tions, etc. As a sidelight to the study, it was fortunate that the author could secure
five families of lower protrusion where both parents suffer from it.
Fig. 1
Fig. 2
54
Fig. 3
TABLE 3
Fig. 4
The author has been of the opinion that causative factor of the so-called reverse
occlusion is not single but is manifold in nature. Therefore, it was felt that it could
be classified accordingly in manifold categories and different categories would mean either
56
Fig. 5
ease or difficulty
in the administrationof orthodontictreatment. The author has carried
out a seriesof these studiesalong thisline and, at the same time, directedhis efforts
in looking into the justification
of a tableof ease and difficultvadopted by Department
of Orthodontics, Nihon University School of Dentistry,with which he is associated.
Therefore, the following three pointswere given main attention:
a. Relationshipof the so-calledreverse occlusion and family with referenceto
itsfrequency,
b. Whether it would be possibleto distinguishindependent reverse occlusions
from those ascribableto family.
c. Examination of a tableof ease and difficulty
in the treatment of reverseocclu-
sion (IWAGAKI & ARITA).
The clinical
observationson in-coming patientsand cephalometric analysishave
praduced the following findings.
D The ordinary rate of frequency in the occurrence of reverse occlusion is at
7.5%±0.89%. This is in line with a previous research of IWAGAKI who gave it as
high as 34.3%±1.27% . This lends support to a conclusion that the reverse occlusion
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