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