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4. PURPOSE OF CLASSIFICATION
• To
localize and quantify any possible skeletal
contribution to class2 malocclusion
•To identify dental displacement associated with the
class2 malocclusion.
•To assign the patient to one of the class2 types
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6. HORIZONTAL TYPES
Type
A
Type B
Type C
Type D
Type E
Type F
Normal skeletal ,but class2 dental
Syndromal types of class2
Mild skeletal features
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7. TYPE-A (Dental class2)
Normal skeletal
profile
Mand dentition
placed normally to
its base
Max dentition is
protracted resulting
in class2 molar
relation
Increased over-jet
and over-bite
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15. TYPE-1 (Steep mandibular plane or high angle case)
Mand
plane
and occlusal
plane are
steeper than
normal
Palate tipped
down
ACB tipped up
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16. TYPE-2 “ Square face”
MP,PP,OP
and ACB
are more
horizontal
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24. DENTAL CLASS-2
Maxillary Dental protrusion
Mesial drift of the maxillary first permanent molars
Congenital disease or loss of the primary teeth
Ectopic molar eruption
Interarch tooth size discrepancy
Affects only lips
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26. Pre school children (primary
dentition)
Flush terminal
Distal step
Mesial step
Mandibular deficiency can be recognized by age 3
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27. Growth
modification can be used to correct
distal step easily
As growth continues the discrepancy tends to
recur as quickly as it was corrected.( both AP
and Vertical skeletal discrepancy)
Except in most severe case it is unwise to
begin treatment
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29. In
early years of 20th century
Pressure against growing face( head gear )
• Angle introduced class 2 elastics to position
mandible forward
•At later stage in US fixed guide planes were used
to force pts to advance the mandible upon closure
With advent of ceph it became clear that
both elastics and guide planes corrected
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class2 by mand dental protrusion
30. Head
gear was re-introduced in 1940s
ceph analysis clearly demonstrated not only
retraction of upper teeth but also effects on
max growth
In
Europe efforts to stimulate mandibular
growth led to the devt of a family of
“functional appliances”.
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