Surgery First Approach for Correcting a Skeletal Class II Malocclusion with Impinging Deep Bite

Authors

Yu-Ting Chiou, Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University. Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan
Tzu-Hang Hsu, Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University. Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan
Sang Heng Kok, Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University. Department of Dentistry, School of Dentistry, National Taiwan University
Chung-Chen Jane Yao, Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University. Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan

Abstract

This case report illustrates a surgery-first treatment for surgical correction of Class II malocclusion. A 54- year-old female, presenting a chief complaint of deep bite and gum biting, came to seek for treatment. She had skeletal Class II and dental Class II malocclusion with 11 mm excessive overjet. Intraoral examination revealed large mandibular curve of Spee. Treatment was performed with a surgery-first approach, moving the dentition towards edge-to-edge bite, followed by extruding mandibular posterior teeth and normalizing the overjet and overbite. Finally, good interdigitation was achieved, as well as the improvement of masticatory function. The patient was satisfied with the facial profile.

Recommended Citation

Chiou, Yu-Ting; Hsu, Tzu-Hang; Kok, Sang Heng; and Yao, Chung-Chen Jane (2021) "Surgery First Approach for Correcting a Skeletal Class II Malocclusion with Impinging Deep Bite," Taiwanese Journal of Orthodontics: Vol. 33: Iss. 2, Article 3.
https://doi.org/10.38209/2708-2636.1104
Available at: https://www.tjo.org.tw/tjo/vol33/iss2/3

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