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Deep Overbite Malocclusion
M. ABOULNASER- Orthodontist, BUA, USA.
O. SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F ,
S.Q.O.D.F, Ex chargé de cours, Paris. France.
Contact: dr.aboualnaser@hotmail.com
Deep Overbite Malocclusion
www.orthofree.com
Plan
Deep bite Malocclusions
1-Definition and Prevalence
2-Classification of overbite
3-Do Deep Overbites require correction?
4- Aetiology and Diagnosis - Deep bite
5-Deep bite Treatment – Complications
6-Biomechanical Considerations
7- Case report
8-Conclusion
1-Definition -Deep bites
M. ABOULNASER - O. SANDID
Overbite may be defined as the degree of vertical overlap of the mandibular
incisors by the maxillary incisors when the posterior teeth are in occlusion.
In a Class I incisor relationship the overbite depth is 2–3 mm on average
O. SANDID
http://pocketdentistry.com/23-deep-overbite-malocclusion/http://pocketdentistry.com/23-deep-overbite-malocclusion/
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST,
MOHAMAD ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
1-Prevalence- Deep bite
M. ABOULNASER - O. SANDID
* The prevalence of deep bite varies between racial
groups, example, it is almost twice as common in
Caucasian Americans compared to African Americans and
Hispanics
* 33.1% of cases had overbites of 3-4mm, with 14.2% having 5-7mm overbites.
Overbites >7mm were seen in 1.7% of cases. Proffit, Nanda.
O. SANDID
http://pocketdentistry.com/23-deep-overbite-malocclusion/23http://pocketdentistry.com/23-deep-overbite-malocclusion/23
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
2-Classification of overbite
M. ABOULNASER - O. SANDID
2-3-mm
Traumatic >7mm
Non Traumatic; 5- 7 mm
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
•
3-Do Deep Overbites require correction ?
M. ABOULNASER - O. SANDID
If not treated, deep bites can result
* In trauma to the palatal mucosa, occlusal trauma (1)  behind the upper
incisors or to the labial gingiva of the lower incisors, root dehiscence (2).
*Excessive attrition (3) of anterior teeth, and Bruxism
(1)
(2)(3)
http://pocketdentistry.com/12-class-ii-division-2-malocclusions/http://pocketdentistry.com/12-class-ii-division-2-malocclusions/
OUSS
AMA
SANDI
D
MOHA
MAD
ABOU
LNASE
R,
OUSS
AMA
SANDI
D
DENTI
ST,
OUSS
AMA
ALSAN
DID
ORTH
ODON
TIST,
MOHA
MAD
ABOU
LNASE
R
ORTH
ODON
TIST,
ALHU
SSAIN
IBRAH
IM
ORTH
ODON
TIST
USA
VIRGI
NIA
3-Do Deep Overbites require correction ?
M. ABOULNASER - O. SANDID
Overbites co-contributing factor in the aetiology of TMD, (abnormal TMJ
movements), locking mandibular growth
Australian Society of OrthodontistsAustralian Society of Orthodontists
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
3-Do Deep Overbites require correction ?
M. ABOULNASER - O. SANDID
http://www.apospublications.com/article.asp?issn=2321-1407;year=2013;volume=3;issue=3;spage=89;epage=93;aulast=Garlapatihttp://www.apospublications.com/article.asp?issn=2321-1407;year=2013;volume=3;issue=3;spage=89;epage=93;aulast=Garlapati
 Early treatment unlocking the bite in class II division 2, unlocking mandibular       
growth, Avoid surgical treatment in adults, Improved smile, esthetic benefits
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
3-Do Deep Overbites require correction ?
M. ABOULNASER - O. SANDID
http://www.apospublications.com/article.asp?issn=2321-1407;year=2013;volume=3;issue=3;spage=89;epage=93;aulast=Garlapatihttp://www.apospublications.com/article.asp?issn=2321-1407;year=2013;volume=3;issue=3;spage=89;epage=93;aulast=Garlapati
  In children, causes of obstructive sleep apnea often include enlarged tonsils (1)
or adenoids and dental conditions such as a large overbite.
OUSSAMA SANDID MOHAMAD
ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID
ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA VIRGINIA
3-Can an overbite - Retrognathia cause snoring ?
M. ABOULNASER - O. SANDID
http://www.snoringmouthpieceguide.com/can-an-overbite-cause-snoring/http://www.snoringmouthpieceguide.com/can-an-overbite-cause-snoring/
http://www.scielo.br/scielo.php?pid=S1808-86942014000800001&script=sci_arttext&tlng=enhttp://www.scielo.br/scielo.php?pid=S1808-86942014000800001&script=sci_arttext&tlng=en
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA
SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST,
MOHAMAD ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
4- Aetiology and Diagnosis - Deep bites
M. ABOULNASER - O. SANDID
Sassouni & NandaSassouni & Nanda
Environmental and/or
genetic factors play a role in
the development of deep
bites.
Individual facial growth
patterns to be genetically
predetermined.
Deep bites can be classified
as skeletal, dental or soft
tissue.
OUSSAMA SANDID MOHAMAD
ABOULNASER, OUSSAMA SANDID DENTIST,
OUSSAMA ALSANDID ORTHODONTIST,
MOHAMAD ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA
VIRGINIA
4- Aetiology and Diagnosis - Deep bites
M. ABOULNASER - O. SANDID
Dental
Overeruption of the mandibular incisors often accompanies a Class II division 1
malocclusion,or class II divison 2, Deep bites are commonly associated with
- An excessive Curve of Spee
-Over-eruption of anterior
- Infra-occlusion Molars
- Lateral tongue posture or lateral tongue thrust, Premature loss of posterior teeth
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
4-Aetiology and Diagnosis- Deep bites
M. ABOULNASER - O. SANDID
Soft tissue
An important aetiological factor in Class II division 2 malocclusion is a
- High lower lip line, which is thought to guide the maxillary and mandibular incisors to erupt
in a more retroclined position.
- Reduced lower anterior face height, short face
- Increased mentalis muscle activity, A strap-like lower lip , cause retroclination of the
mandibular incisors, or if a high lower lip position is also present
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
4- Aetiology and Diagnosis - Deep bites
M. ABOULNASER - O. SANDID
Predisposing
characteristics for the
development of a Class II,
division 2 malocclusion.
- a and b A  short upper
lip. 
-c A reduced anterior
lower facial height with a
horizontally orientated
mandibular lower border
and a small gonial angle. 
-d An excess of labial soft
tissues
http://pocketdentistry.com/12-class-ii-division-2-malocclusions/http://pocketdentistry.com/12-class-ii-division-2-malocclusions/
OUSSAMA SANDID MOHAMAD
ABOULNASER, OUSSAMA SANDID DENTIST,
OUSSAMA ALSANDID ORTHODONTIST,
MOHAMAD ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA
VIRGINIA
4- Aetiology and Diagnosis - Deep bites
M. ABOULNASER - O. SANDID
Skeletal deep bites are charaterised by convergent jaw bases, The maxillary basal bone
rotates downwards, i.e,. clockwise rotation, The mandible rotates forwards and
upwards i.e., anticlockwise rotation, all four planes of face are horizontal and near
parallel to each other, the lower facial height is decreased
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
4-Diagnosis- Deep bites- Cepalometrics analysis
M. ABOULNASER - O. SANDID
Skeletal Deep Bites
- Acute cranial base angle
- Reduced ratio (proportion of
posterior face height to anterior
face height)
- Reduced Y-axis
- Increased ramal length
- Parallel Sassouni planes
- Forward rotation of the mandible,
in the direction of mouth closing
- Reduced lower anterior face
height
- Reduced gonial angle
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA
SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST,
MOHAMAD ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
Symptoms-Deep bite
M. ABOULNASER - O. SANDID
•1- Jaw pain, Headaches, TMJ pain
•2-Teeth grinding, Cementum erosion
•2a- Enamel wear contribute to the
problem along with slurry speech,
particularly among older patients. As
the patient gets older the bite gets
deeper which makes the
malocclusion worse.
•- Deep bites interfere with clear
speech.
•3- Change the structure of the face,
mouth and smile.
•3a- The shape of the face is short
and round and the chin looks too
small even when it is actually normal
in size. The abnormal teeth
alignment contributes to the
malocclusion and the shape of the
patients face.
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
OUSSAMA SANDID MOHAMAD
ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID
ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA VIRGINIA
4-Lips and tongue pressure in orthodontic patients
M. ABOULNASER - O. SANDID
Majeroni Orthodontics, Ghilherme Janson and Fabricio Valarelli ,http://ejo.oxfordjournals.org/content/32/4/466.fullMajeroni Orthodontics, Ghilherme Janson and Fabricio Valarelli ,http://ejo.oxfordjournals.org/content/32/4/466.full
A big factor in the way your teeth grow is their relation to your lips and tongue.
BALANCE OF PRESSURE from the lips pushes the teeth inward, while pressure from the tongue pushes the teeth
outward, To keep your teeth straight, there must be a perfect balance of pressure between these tow forces .
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
4-Deep bite - Cephalometric evaluation
M. ABOULNASER - O. SANDID
ODI = Overbite Depth Indicator.
_________________
*FH-FP = Frankfort -facial plane
(N-Po).
________________
*LP = Labial Position
*EL = Esthetic Line.
_________________
*IIA = Inter incisal Angle
--------------------------
O line- MP=20 deg if sup 25 lower
incisor intrusion
-----------------------
O line –PP =10, If sup 15 deg,
upper incisor intrusion
------------------------
Acute cranial base angle
----------------------------
Reduced Y axix
----------------------------
Increased ramal length
-----------------------------
Forward growth rotation Md
----------------------------------------
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
4-Deep bite - Cephalometric evaluation
M. ABOULNASER - O. SANDID
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
4-Vertical proportions of face: Facial Height
M. ABOULNASER - O. SANDID
Trichion, HairlineTrichion, Hairline
Nasion, GlabellaNasion, Glabella
SubnasaleSubnasale
Gnathion, MentonGnathion, Menton
MidfaceMidface
Lower faceLower face
Upper faceUpper face
OUSSAMA SANDID MOHAMAD
ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID
ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA VIRGINIA
5-Deep bite Treatment
OUSSAMA SANDID MOHAMAD ABOULNASER,
OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID
ORTHODONTIST, MOHAMAD ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
5-Deep bite Treatment
M. ABOULNASER - O. SANDID
a-Principes: Molar intrusion, Incisor extrusion
b-Maxillary and mandibular Connecticut Intrusion Arches
c-Rickett’s utility arch
d-Burstone’s intrusion arch
e-Using reverse-curved archwires
f-Deep bite Treatment with mini-scrwes
g-Removable appliances- Anterior inclined Bite Plan, Clear Aligner
h-Functional appliances , Mandibular advancement, Frankel 
i-Class II intermaxillary elastics
j-Orthognathic surgery
K-Cervical pull headgear to maxillary first molars-hook headgear to the upper labial
segment
5l-Bite turbo
5m-Lingual technique
5n-Leveling the curve of Spee
50-Deep bite - Bracket Placement
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
5a-Deep bite Treatment
a- Principes: Incisor intrusion, Molar extrusion
Madhur Upadhyay, Ravindra NandaMadhur Upadhyay, Ravindra Nanda
Incisor intrusion
Molar extrusion
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
5b-Deep bite Treatment
 Intrusion force system consists of anterior intrusive force, posterior extrusive force,
and posterior tipback moment.
b-Maxillary and mandibular Connecticut Intrusion Arches
RAVINDRA NANDA, ROBERT MARZBAN, ANDREW KUHLBERG, JCO, VOLUME 32 : NUMBER 12 : PAGES (708-715) 1998RAVINDRA NANDA, ROBERT MARZBAN, ANDREW KUHLBERG, JCO, VOLUME 32 : NUMBER 12 : PAGES (708-715) 1998
OUSSAMA SANDID MOHAMAD ABOULNASER,
OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID
ORTHODONTIST, MOHAMAD ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA
VIRGINIA
5c-Deep bite Treatment
M. ABOULNASER - O. SANDID
5c-Deep bite Treatment
M. ABOULNASER - O. SANDID
c-Rickett’s utility arch
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
5d-Deep bite Treatment5d-Deep bite Treatment
http://m.blog.daum.net/orthosu/7892617http://m.blog.daum.net/orthosu/7892617
D-Burstone’s intrusion arch- 3-pieces
OUSSAMA SANDID MOHAMAD ABOULNASER,
OUSSAMA SANDID DENTIST, OUSSAMA
ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA
VIRGINIA
5e-Deep bite Treatment-Using reverse-curved archwires
Deep bite be treated by extrusion of posterior teeth, intrusion of maxillary
and/or mandibular incisors or a combination of procedures
Elastics
OUSSAMA SANDID MOHAMAD
ABOULNASER, OUSSAMA SANDID DENTIST,
OUSSAMA ALSANDID ORTHODONTIST,
MOHAMAD ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA
VIRGINIA
5f- Reduction Gummy Smile Using Miniscrew Anchorage
JAMES CHENG-YI LIN, ERIC JEIN-WEIN LIOU, S. JAY BOWMAN, © 2010 JCO, VOLUME XLIV NUMBER 3JAMES CHENG-YI LIN, ERIC JEIN-WEIN LIOU, S. JAY BOWMAN, © 2010 JCO, VOLUME XLIV NUMBER 3
“Gummy smiles” 1,2—En masse upper and lower anterior retraction;
3,4—En masse upper and lower anterior intrusion
5f-Micro Implants for Intrusion and Retraction
Amarnath B.C Prashanth C.S Dharma R.M , IJCD • NOVEMBER, 2010 • 1(2) © 2010 Int. Journal of Contemporary DentistryAmarnath B.C Prashanth C.S Dharma R.M , IJCD • NOVEMBER, 2010 • 1(2) © 2010 Int. Journal of Contemporary Dentistry
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
5f-Deep bite Treatment with mini-screws
M. ABOULNASER - O. SANDID
Upper and lower incisor intrusion when it is desirable to have these teeth tip buccally.
Upper and lower incisor intrusion when it is desirable to maintain teeth’s axial tipping.
Telma Martins de Araújo, Mauro Henrique Andrade Nascimento, Dental Press J. Orthod. v. 13, no. 5, p. 36-48, Sep./Oct. 2008Telma Martins de Araújo, Mauro Henrique Andrade Nascimento, Dental Press J. Orthod. v. 13, no. 5, p. 36-48, Sep./Oct. 2008
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
5f-Deep bite Treatment5f-Deep bite Treatment
F-Deep bite Treatment with mini-screws
Tülin Uğur TANER, Soner KAMACI DDS, Bahadır GİRAY DDS, Hacettepe Dişhekimliği Fakültesi Dergisi Cilt: 31, Sayı: 3, Sayfa: 44-51, 2007Tülin Uğur TANER, Soner KAMACI DDS, Bahadır GİRAY DDS, Hacettepe Dişhekimliği Fakültesi Dergisi Cilt: 31, Sayı: 3, Sayfa: 44-51, 2007
Initial Initial
Final
Final
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
5f-Deep bite Treatment with mini-screws5f-Deep bite Treatment with mini-screws
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
5g-Deep bite Treatment
M. ABOULNASER - O. SANDID
Removable appliances- Anterior inclined Bite Plan
Overbite correction with Removable Appliances,
the posterior teeth should be separated by about
2-3 mm- anterior bite plane that causes a
posterior disclusionhttp://dentallecnotes.blogspot.com/http://dentallecnotes.blogspot.com/
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
5g-Deep bite Treatment
http://orthocj.com/2011/03/a-new-fixed-acrylic-bite-plane-for-deep-bite-correction/http://orthocj.com/2011/03/a-new-fixed-acrylic-bite-plane-for-deep-bite-correction/
Pre-treatment With fixed bite plane
 Occlusal view
Post-treatment
Fixed Acrylic Bite Plane for Deep Bite Correction
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
5g-Deep bite Treatment5g-Deep bite Treatment
Deep-Bite Correction Using a Clear Aligner and Intramaxillary
Elastics
JAE HYUN PARK, TAE WEON KIM, JCO/MARCH 2009JAE HYUN PARK, TAE WEON KIM, JCO/MARCH 2009
Initial
Final
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
5h-Deep bite Treatment
M. ABOULNASER - O. SANDID
Functional appliances, Mandibular advancement, Frankel
Before After
OUSSAMA SANDID MOHAMAD
ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID
ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST
USA VIRGINIA
5h-Early Treatment of A Class II, Division 2 Malocclusion
Trainer for Kids (T4K)
Miroslava Dinkova, http://www.journal-imab-bg.org -/ J of IMAB. 2014, vol. 20, issue 5/Miroslava Dinkova, http://www.journal-imab-bg.org -/ J of IMAB. 2014, vol. 20, issue 5/
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST,
MOHAMAD ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
5h-Deep bite Treatment
Aditya Chhibber, Madhur Upadhyay, Ravindra Nanda,http://www.orthodonticproductsonline.com/Aditya Chhibber, Madhur Upadhyay, Ravindra Nanda,http://www.orthodonticproductsonline.com/
Twin Force Bite Corrector
Intial
Final
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
5i-Deep bite Treatment5i-Deep bite Treatment
Before & After Treatment Results
Class II Divison 1 Deep bite-intermaxillary elastics
OUSSAMA SANDID
MOHAMAD ABOULNASER,
OUSSAMA SANDID DENTIST,
OUSSAMA ALSANDID
ORTHODONTIST,
MOHAMAD ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
5j-Deep bite Treatment
Maurice Y. Mommaerts, Evelyn Asselman,Maurice Y. Mommaerts, Evelyn Asselman,
Orthognathic surgery, Class II, deep bIte, prominent Chin
Intial Final
OUSSAMA SANDID
MOHAMAD ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
5k-Deep bite Treatment
http://www.angle.org/doi/pdf/10.1043/0003-3219%282004%29074%3C0480%3ATROAHP%3E2.0.CO%3B2http://www.angle.org/doi/pdf/10.1043/0003-3219%282004%29074%3C0480%3ATROAHP%3E2.0.CO%3B2
K-hook headgear to the upper labial segment
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST, OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA
VIRGINIA
5k-Deep bite Treatment
Amarnath B.C Prashanth C.S Dharma R.M , IJCD • NOVEMBER, 2010 • 1(2) © 2010 Int. Journal of Contemporary DentistryAmarnath B.C Prashanth C.S Dharma R.M , IJCD • NOVEMBER, 2010 • 1(2) © 2010 Int. Journal of Contemporary Dentistry
k-hook headgear to the upper labial segment
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST,
OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN
IBRAHIM
ORTHODONTIST
USA VIRGINIA
5l-Bite turbos
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
5m-Deep bite
Incognito-Lingual braces
Intial Final
OUSSAM
A SANDID
MOHAMA
D
ABOULNA
SER,
OUSSAM
A SANDID
DENTIST,
OUSSAM
A
ALSANDID
ORTHOD
ONTIST,
MOHAMA
D
ABOULNA
SER
ORTHOD
ONTIST,
ALHUSSAI
N
IBRAHIM
ORTHOD
ONTIST
USA
VIRGINIA
5n-Deep bite Treatment
Leveling the curve of Spee
https://tspace.library.utoronto.ca/bitstream/1807/33470/7/Nardone_Jessica_201211_MSc_thesis.pdfhttps://tspace.library.utoronto.ca/bitstream/1807/33470/7/Nardone_Jessica_201211_MSc_thesis.pdf
Extrusion of molars and resultant downward and backward mandibular rotation
(solid line = pre-treatment; dotted line = post-treatment)
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
Complications -Intrusion in Orthodontics and root resorption
OUSSAMA SANDID MOHAMAD
ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID
ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM
ORTHODONTIST USA VIRGINIA
50-Deep bite - Bracket Placement
http://pocketdentistry.com/principle-7-build-treatment-into-bracket-placement/http://pocketdentistry.com/principle-7-build-treatment-into-bracket-placement/
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
6-Biomechanical Considerations
FLAVIO URIBE, RAVINDRA NANDA, VOLUME XXXVII NUMBER 11 © 2003 JCO, Inc.
Force system and ligation
points of intrusion
arch in Class II, division 2
malocclusion.
Intrusion arch produces anterior
tipback moment and intrusive force
along with extrusive force on
molars.
OUSSAMA
SANDID
MOHAMAD
ABOULNASER,
OUSSAMA
SANDID DENTIST,
OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN
IBRAHIM
ORTHODONTIST
USA VIRGINIA
Biomechanical Considerations
FLAVIO URIBE, RAVINDRA NANDA, VOLUME XXXVII NUMBER 11 © 2003 JCO, Inc.
Canine retraction with .016" × .022" stainless steel base arch and overlay
intrusion arch for anchorage and incisor control.
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
Biomechanical Considerations
FLAVIO URIBE, RAVINDRA NANDA, VOLUME XXXVII NUMBER 11 © 2003 JCO, Inc.
.017" × .025" CNA mushroom-loop archwire after intraoral activation.
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST,
OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN
IBRAHIM
ORTHODONTIST
USA VIRGINIA
Deep bite TreatmentDeep bite Treatment
Burstone- 3-pieces Intrusion Arch Wire
Sergei Godeiro Fernandes Rabelo Caldas, Alexandre Antonio Ribeiro, http://www.scielo.br/pdf/dpjo/v19n2/2176-9451-dpjo-19-02-00126.pdfSergei Godeiro Fernandes Rabelo Caldas, Alexandre Antonio Ribeiro, http://www.scielo.br/pdf/dpjo/v19n2/2176-9451-dpjo-19-02-00126.pdf
OUSSA
MA
SANDID
MOHA
MAD
ABOUL
NASER,
OUSSA
MA
SANDID
DENTIST
,
OUSSA
MA
ALSAND
ID
ORTHO
DONTIS
T,
MOHA
MAD
ABOUL
NASER
ORTHO
DONTIS
T,
ALHUSS
AIN
IBRAHI
M
ORTHO
DONTIS
T USA
VIRGINI
A
7-Case report
• Class II divison 1 deep bite
• Class II division 2 Deep bite
OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID
DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD
ABOULNASER ORTHODONTIST,
ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
Class II divison 1 deep bite case 1
M. ABOULNASER - O. SANDID
Class II divison 1 deep bite case 1
M. ABOULNASER - O. SANDID
Before & After Treatment  Results
OUSSAMA
SANDID
MOHAMAD
ABOULNASER,
OUSSAMA
SANDID DENTIST,
OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN
IBRAHIM
ORTHODONTIST
USA VIRGINIA
Class II division 2 Deep bite: case 2
M. ABOULNASER - O. SANDID
Class II division 2 Deep bite: case 2
M. ABOULNASER - O. SANDID
Before & After Treatment  Results
OUSSAMA
SANDID
MOHAMAD
ABOULNASER,
OUSSAMA
SANDID
DENTIST,
OUSSAMA
ALSANDID
ORTHODONTIS
T, MOHAMAD
ABOULNASER
ORTHODONTIS
T,
ALHUSSAIN
IBRAHIM
ORTHODONTIS
T USA VIRGINIA
Class II division 2 Over Bite and Narrow Arch: case 3Class II division 2 Over Bite and Narrow Arch: case 3
http://www.hodgesortho.com/photogallery/amazing-smiles-11602/over-bite-and-narrow-arch-45452http://www.hodgesortho.com/photogallery/amazing-smiles-11602/over-bite-and-narrow-arch-45452
OUSSAMA SANDID
MOHAMAD
ABOULNASER,
OUSSAMA SANDID
DENTIST,
OUSSAMA
ALSANDID
ORTHODONTIST,
MOHAMAD
ABOULNASER
ORTHODONTIST,
ALHUSSAIN
IBRAHIM
ORTHODONTIST
USA VIRGINIA
Conclusion
• Deep anterior bites are a common problem amongst
patients with correction of deep overbites often a strong
functional indication for orthodontic treatment.
Uncorrected deep bites may lead to loss of tooth
structure due to attrition, as well as periodontal
compromise due to traumatic occlusion and
impingement. It is important to assess the patient facially,
skeletally and dentally to ensure correct diagnosis of the
vertical dimension. Identification of the aetiology of the
deep bite will allow formulation of appropriate treatment
mechanics.
OUSSAMA SANDID- MOHAMAD ABOULNASER-OUSSAMA SANDID DENTIST-OUSSAMA AL SANDID
ORTHODONTIST-MOHAMAD ABOULNASER ORTHODONTISiT-MOHAMAD ABOULNASER DENTIST
ALHUSSAIN IBRAHIM ORTHODONTIST DENTIST USA VIRGINIA
Bibliography
• [1] Uribe F, Nanda R. Treatment of Class II Division 2 Malocclusion in Adults: Biomechanical
consideration. 2003; 37 (11):599-606.
• [2] Kim SH, Park YG, Chung K. Severe Class II Anterior bite malocclusion treated with a C-lingual
retractor. Angle Orthod. 2004;74:280-5.
• [3] Nanda R. Correction of deep over bite in adults. Dent Clin North Am. 1997; 41:67–87.
• [4] Dermaut LR, De Pauw G. Biomechanical aspects of Class II mechanics with special emphasis in
deep bite correction as part of the treatment goal. In : Nanda R ed. Biomechanics in clinical
Orthodontics. Philadelphia, Pa: W.B. Saunders Co; 1997:86-98.
• [5] Burstone C. Deep overbite correction by intrusion. Am J Orthod Dentofac Orthop. 1977;72:1-22.
• [6] Nanda, R.; Marzban R.; Kuhlberg, A.; The Connecticut Intrusion arch. J Clin. Orthod. 1998; 32:708-
15.
• [7] Proffit WR. Contemporary orthodontics. 3rd ed. St Louis: Mosby;1999. p. 200-1.
• [8] Horiuch Y, Horiuch M, Soma K. Treatment of severe Class II division 1 deepoverbite malocclusion
without extractions in an adult. Am J Orthod Dentofacial Orthop. 2008; 133(4):S121-9.
• [9] Karanth DHS, Shetty SV. Comparative study of various Intrusion arches. J Ind Orthod Soc.
2001;34:82-91.
• [10] Nanda R, Upadhyay M. Skeletal and dental consideration in orthodontic treatment machanics: a
contemporary view. As cited from URL- http://EJOOxfordJournals. org/. on 24th Oct, 2013.

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Mais de Dr Mohamad ABOUALNASER -Orthodontist

144 impaction canines prevention-prevention inclusion canine incluse-oussama ...
144 impaction canines prevention-prevention inclusion canine incluse-oussama ...144 impaction canines prevention-prevention inclusion canine incluse-oussama ...
144 impaction canines prevention-prevention inclusion canine incluse-oussama ...Dr Mohamad ABOUALNASER -Orthodontist
 
143 adult orthodontics-clear aligners-invisaling-oussama sandid-mohamad aboua...
143 adult orthodontics-clear aligners-invisaling-oussama sandid-mohamad aboua...143 adult orthodontics-clear aligners-invisaling-oussama sandid-mohamad aboua...
143 adult orthodontics-clear aligners-invisaling-oussama sandid-mohamad aboua...Dr Mohamad ABOUALNASER -Orthodontist
 
140 canine impaction - canine incluse-orthodontic treatment-case-report-galle...
140 canine impaction - canine incluse-orthodontic treatment-case-report-galle...140 canine impaction - canine incluse-orthodontic treatment-case-report-galle...
140 canine impaction - canine incluse-orthodontic treatment-case-report-galle...Dr Mohamad ABOUALNASER -Orthodontist
 
138 class ii divison 1 - malocclusion- overjet-treatmentorthodontic -withoute...
138 class ii divison 1 - malocclusion- overjet-treatmentorthodontic -withoute...138 class ii divison 1 - malocclusion- overjet-treatmentorthodontic -withoute...
138 class ii divison 1 - malocclusion- overjet-treatmentorthodontic -withoute...Dr Mohamad ABOUALNASER -Orthodontist
 
139 orthodontic treatment-case-report-gallery before after orthodontic treatm...
139 orthodontic treatment-case-report-gallery before after orthodontic treatm...139 orthodontic treatment-case-report-gallery before after orthodontic treatm...
139 orthodontic treatment-case-report-gallery before after orthodontic treatm...Dr Mohamad ABOUALNASER -Orthodontist
 
136 benefits of orthodontics for a periodontal patient-mohamad aboualnaser-ou...
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136 benefits of orthodontics for a periodontal patient-mohamad aboualnaser-ou...Dr Mohamad ABOUALNASER -Orthodontist
 
135 periodontal problems during orthodonti ctreatment-mohamad aboualnaser-ous...
135 periodontal problems during orthodonti ctreatment-mohamad aboualnaser-ous...135 periodontal problems during orthodonti ctreatment-mohamad aboualnaser-ous...
135 periodontal problems during orthodonti ctreatment-mohamad aboualnaser-ous...Dr Mohamad ABOUALNASER -Orthodontist
 
134 periodontal surgery for the orthodontic patient-mohamad aboualnaser-oussa...
134 periodontal surgery for the orthodontic patient-mohamad aboualnaser-oussa...134 periodontal surgery for the orthodontic patient-mohamad aboualnaser-oussa...
134 periodontal surgery for the orthodontic patient-mohamad aboualnaser-oussa...Dr Mohamad ABOUALNASER -Orthodontist
 
130 temporomandibularjoint-tmj-anatomy-malocclusion-oussama sandid-mohamad ab...
130 temporomandibularjoint-tmj-anatomy-malocclusion-oussama sandid-mohamad ab...130 temporomandibularjoint-tmj-anatomy-malocclusion-oussama sandid-mohamad ab...
130 temporomandibularjoint-tmj-anatomy-malocclusion-oussama sandid-mohamad ab...Dr Mohamad ABOUALNASER -Orthodontist
 
133 dental anomalies-mohamad aboualnaser-awatef shaar-orthodontist-orthodontiste
133 dental anomalies-mohamad aboualnaser-awatef shaar-orthodontist-orthodontiste133 dental anomalies-mohamad aboualnaser-awatef shaar-orthodontist-orthodontiste
133 dental anomalies-mohamad aboualnaser-awatef shaar-orthodontist-orthodontisteDr Mohamad ABOUALNASER -Orthodontist
 
132 wisdom teeth-oussama sandid-mohamad aboualnaser-awatef shaar-orthodontis...
132  wisdom teeth-oussama sandid-mohamad aboualnaser-awatef shaar-orthodontis...132  wisdom teeth-oussama sandid-mohamad aboualnaser-awatef shaar-orthodontis...
132 wisdom teeth-oussama sandid-mohamad aboualnaser-awatef shaar-orthodontis...Dr Mohamad ABOUALNASER -Orthodontist
 
131 oral surgery and orthodontics-malocclusion-oussama sandid-mohamad aboualn...
131 oral surgery and orthodontics-malocclusion-oussama sandid-mohamad aboualn...131 oral surgery and orthodontics-malocclusion-oussama sandid-mohamad aboualn...
131 oral surgery and orthodontics-malocclusion-oussama sandid-mohamad aboualn...Dr Mohamad ABOUALNASER -Orthodontist
 
129 temporary anchorage devices in orthodontics-miniscrews-mini-implants-ouss...
129 temporary anchorage devices in orthodontics-miniscrews-mini-implants-ouss...129 temporary anchorage devices in orthodontics-miniscrews-mini-implants-ouss...
129 temporary anchorage devices in orthodontics-miniscrews-mini-implants-ouss...Dr Mohamad ABOUALNASER -Orthodontist
 
128 miniscrews in orthodontics biomechanics-casereport-oussama sandid-mohamad...
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128 miniscrews in orthodontics biomechanics-casereport-oussama sandid-mohamad...Dr Mohamad ABOUALNASER -Orthodontist
 
126 failure mini-implant-miniscrews in orthodontics-case report-oussama sandi...
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126 failure mini-implant-miniscrews in orthodontics-case report-oussama sandi...Dr Mohamad ABOUALNASER -Orthodontist
 

Mais de Dr Mohamad ABOUALNASER -Orthodontist (20)

157 temporomandibular joint-tmj- anatomy mechanichs
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144 impaction canines prevention-prevention inclusion canine incluse-oussama ...
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144 impaction canines prevention-prevention inclusion canine incluse-oussama ...
 
143 adult orthodontics-clear aligners-invisaling-oussama sandid-mohamad aboua...
143 adult orthodontics-clear aligners-invisaling-oussama sandid-mohamad aboua...143 adult orthodontics-clear aligners-invisaling-oussama sandid-mohamad aboua...
143 adult orthodontics-clear aligners-invisaling-oussama sandid-mohamad aboua...
 
B 10-01-2011--prevention or(2) (fil eminimizer)
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140 canine impaction - canine incluse-orthodontic treatment-case-report-galle...
140 canine impaction - canine incluse-orthodontic treatment-case-report-galle...140 canine impaction - canine incluse-orthodontic treatment-case-report-galle...
140 canine impaction - canine incluse-orthodontic treatment-case-report-galle...
 
138 class ii divison 1 - malocclusion- overjet-treatmentorthodontic -withoute...
138 class ii divison 1 - malocclusion- overjet-treatmentorthodontic -withoute...138 class ii divison 1 - malocclusion- overjet-treatmentorthodontic -withoute...
138 class ii divison 1 - malocclusion- overjet-treatmentorthodontic -withoute...
 
139 orthodontic treatment-case-report-gallery before after orthodontic treatm...
139 orthodontic treatment-case-report-gallery before after orthodontic treatm...139 orthodontic treatment-case-report-gallery before after orthodontic treatm...
139 orthodontic treatment-case-report-gallery before after orthodontic treatm...
 
136 benefits of orthodontics for a periodontal patient-mohamad aboualnaser-ou...
136 benefits of orthodontics for a periodontal patient-mohamad aboualnaser-ou...136 benefits of orthodontics for a periodontal patient-mohamad aboualnaser-ou...
136 benefits of orthodontics for a periodontal patient-mohamad aboualnaser-ou...
 
135 periodontal problems during orthodonti ctreatment-mohamad aboualnaser-ous...
135 periodontal problems during orthodonti ctreatment-mohamad aboualnaser-ous...135 periodontal problems during orthodonti ctreatment-mohamad aboualnaser-ous...
135 periodontal problems during orthodonti ctreatment-mohamad aboualnaser-ous...
 
134 periodontal surgery for the orthodontic patient-mohamad aboualnaser-oussa...
134 periodontal surgery for the orthodontic patient-mohamad aboualnaser-oussa...134 periodontal surgery for the orthodontic patient-mohamad aboualnaser-oussa...
134 periodontal surgery for the orthodontic patient-mohamad aboualnaser-oussa...
 
130 temporomandibularjoint-tmj-anatomy-malocclusion-oussama sandid-mohamad ab...
130 temporomandibularjoint-tmj-anatomy-malocclusion-oussama sandid-mohamad ab...130 temporomandibularjoint-tmj-anatomy-malocclusion-oussama sandid-mohamad ab...
130 temporomandibularjoint-tmj-anatomy-malocclusion-oussama sandid-mohamad ab...
 
133 dental anomalies-mohamad aboualnaser-awatef shaar-orthodontist-orthodontiste
133 dental anomalies-mohamad aboualnaser-awatef shaar-orthodontist-orthodontiste133 dental anomalies-mohamad aboualnaser-awatef shaar-orthodontist-orthodontiste
133 dental anomalies-mohamad aboualnaser-awatef shaar-orthodontist-orthodontiste
 
132 wisdom teeth-oussama sandid-mohamad aboualnaser-awatef shaar-orthodontis...
132  wisdom teeth-oussama sandid-mohamad aboualnaser-awatef shaar-orthodontis...132  wisdom teeth-oussama sandid-mohamad aboualnaser-awatef shaar-orthodontis...
132 wisdom teeth-oussama sandid-mohamad aboualnaser-awatef shaar-orthodontis...
 
131 oral surgery and orthodontics-malocclusion-oussama sandid-mohamad aboualn...
131 oral surgery and orthodontics-malocclusion-oussama sandid-mohamad aboualn...131 oral surgery and orthodontics-malocclusion-oussama sandid-mohamad aboualn...
131 oral surgery and orthodontics-malocclusion-oussama sandid-mohamad aboualn...
 
129 temporary anchorage devices in orthodontics-miniscrews-mini-implants-ouss...
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129 temporary anchorage devices in orthodontics-miniscrews-mini-implants-ouss...
 
128 miniscrews in orthodontics biomechanics-casereport-oussama sandid-mohamad...
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126 failure mini-implant-miniscrews in orthodontics-case report-oussama sandi...
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Deep bite malocclusions-M. ABOULNASER- Orthodontist, BUA, USA. O. SANDID- Orthodontist

  • 1. Deep Overbite Malocclusion M. ABOULNASER- Orthodontist, BUA, USA. O. SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F , S.Q.O.D.F, Ex chargé de cours, Paris. France. Contact: dr.aboualnaser@hotmail.com
  • 3. Plan Deep bite Malocclusions 1-Definition and Prevalence 2-Classification of overbite 3-Do Deep Overbites require correction? 4- Aetiology and Diagnosis - Deep bite 5-Deep bite Treatment – Complications 6-Biomechanical Considerations 7- Case report 8-Conclusion
  • 4. 1-Definition -Deep bites M. ABOULNASER - O. SANDID Overbite may be defined as the degree of vertical overlap of the mandibular incisors by the maxillary incisors when the posterior teeth are in occlusion. In a Class I incisor relationship the overbite depth is 2–3 mm on average O. SANDID http://pocketdentistry.com/23-deep-overbite-malocclusion/http://pocketdentistry.com/23-deep-overbite-malocclusion/ OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 5. 1-Prevalence- Deep bite M. ABOULNASER - O. SANDID * The prevalence of deep bite varies between racial groups, example, it is almost twice as common in Caucasian Americans compared to African Americans and Hispanics * 33.1% of cases had overbites of 3-4mm, with 14.2% having 5-7mm overbites. Overbites >7mm were seen in 1.7% of cases. Proffit, Nanda. O. SANDID http://pocketdentistry.com/23-deep-overbite-malocclusion/23http://pocketdentistry.com/23-deep-overbite-malocclusion/23 OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 6. 2-Classification of overbite M. ABOULNASER - O. SANDID 2-3-mm Traumatic >7mm Non Traumatic; 5- 7 mm OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 7. • 3-Do Deep Overbites require correction ? M. ABOULNASER - O. SANDID If not treated, deep bites can result * In trauma to the palatal mucosa, occlusal trauma (1)  behind the upper incisors or to the labial gingiva of the lower incisors, root dehiscence (2). *Excessive attrition (3) of anterior teeth, and Bruxism (1) (2)(3) http://pocketdentistry.com/12-class-ii-division-2-malocclusions/http://pocketdentistry.com/12-class-ii-division-2-malocclusions/ OUSS AMA SANDI D MOHA MAD ABOU LNASE R, OUSS AMA SANDI D DENTI ST, OUSS AMA ALSAN DID ORTH ODON TIST, MOHA MAD ABOU LNASE R ORTH ODON TIST, ALHU SSAIN IBRAH IM ORTH ODON TIST USA VIRGI NIA
  • 8. 3-Do Deep Overbites require correction ? M. ABOULNASER - O. SANDID Overbites co-contributing factor in the aetiology of TMD, (abnormal TMJ movements), locking mandibular growth Australian Society of OrthodontistsAustralian Society of Orthodontists OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 9. 3-Do Deep Overbites require correction ? M. ABOULNASER - O. SANDID http://www.apospublications.com/article.asp?issn=2321-1407;year=2013;volume=3;issue=3;spage=89;epage=93;aulast=Garlapatihttp://www.apospublications.com/article.asp?issn=2321-1407;year=2013;volume=3;issue=3;spage=89;epage=93;aulast=Garlapati  Early treatment unlocking the bite in class II division 2, unlocking mandibular        growth, Avoid surgical treatment in adults, Improved smile, esthetic benefits OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 10. 3-Do Deep Overbites require correction ? M. ABOULNASER - O. SANDID http://www.apospublications.com/article.asp?issn=2321-1407;year=2013;volume=3;issue=3;spage=89;epage=93;aulast=Garlapatihttp://www.apospublications.com/article.asp?issn=2321-1407;year=2013;volume=3;issue=3;spage=89;epage=93;aulast=Garlapati   In children, causes of obstructive sleep apnea often include enlarged tonsils (1) or adenoids and dental conditions such as a large overbite. OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 11. 3-Can an overbite - Retrognathia cause snoring ? M. ABOULNASER - O. SANDID http://www.snoringmouthpieceguide.com/can-an-overbite-cause-snoring/http://www.snoringmouthpieceguide.com/can-an-overbite-cause-snoring/ http://www.scielo.br/scielo.php?pid=S1808-86942014000800001&script=sci_arttext&tlng=enhttp://www.scielo.br/scielo.php?pid=S1808-86942014000800001&script=sci_arttext&tlng=en OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 12. 4- Aetiology and Diagnosis - Deep bites M. ABOULNASER - O. SANDID Sassouni & NandaSassouni & Nanda Environmental and/or genetic factors play a role in the development of deep bites. Individual facial growth patterns to be genetically predetermined. Deep bites can be classified as skeletal, dental or soft tissue. OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 13. 4- Aetiology and Diagnosis - Deep bites M. ABOULNASER - O. SANDID Dental Overeruption of the mandibular incisors often accompanies a Class II division 1 malocclusion,or class II divison 2, Deep bites are commonly associated with - An excessive Curve of Spee -Over-eruption of anterior - Infra-occlusion Molars - Lateral tongue posture or lateral tongue thrust, Premature loss of posterior teeth OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 14. 4-Aetiology and Diagnosis- Deep bites M. ABOULNASER - O. SANDID Soft tissue An important aetiological factor in Class II division 2 malocclusion is a - High lower lip line, which is thought to guide the maxillary and mandibular incisors to erupt in a more retroclined position. - Reduced lower anterior face height, short face - Increased mentalis muscle activity, A strap-like lower lip , cause retroclination of the mandibular incisors, or if a high lower lip position is also present OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 15. 4- Aetiology and Diagnosis - Deep bites M. ABOULNASER - O. SANDID Predisposing characteristics for the development of a Class II, division 2 malocclusion. - a and b A  short upper lip.  -c A reduced anterior lower facial height with a horizontally orientated mandibular lower border and a small gonial angle.  -d An excess of labial soft tissues http://pocketdentistry.com/12-class-ii-division-2-malocclusions/http://pocketdentistry.com/12-class-ii-division-2-malocclusions/ OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 16. 4- Aetiology and Diagnosis - Deep bites M. ABOULNASER - O. SANDID Skeletal deep bites are charaterised by convergent jaw bases, The maxillary basal bone rotates downwards, i.e,. clockwise rotation, The mandible rotates forwards and upwards i.e., anticlockwise rotation, all four planes of face are horizontal and near parallel to each other, the lower facial height is decreased OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 17. 4-Diagnosis- Deep bites- Cepalometrics analysis M. ABOULNASER - O. SANDID Skeletal Deep Bites - Acute cranial base angle - Reduced ratio (proportion of posterior face height to anterior face height) - Reduced Y-axis - Increased ramal length - Parallel Sassouni planes - Forward rotation of the mandible, in the direction of mouth closing - Reduced lower anterior face height - Reduced gonial angle OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 18. Symptoms-Deep bite M. ABOULNASER - O. SANDID •1- Jaw pain, Headaches, TMJ pain •2-Teeth grinding, Cementum erosion •2a- Enamel wear contribute to the problem along with slurry speech, particularly among older patients. As the patient gets older the bite gets deeper which makes the malocclusion worse. •- Deep bites interfere with clear speech. •3- Change the structure of the face, mouth and smile. •3a- The shape of the face is short and round and the chin looks too small even when it is actually normal in size. The abnormal teeth alignment contributes to the malocclusion and the shape of the patients face. OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 19. 4-Lips and tongue pressure in orthodontic patients M. ABOULNASER - O. SANDID Majeroni Orthodontics, Ghilherme Janson and Fabricio Valarelli ,http://ejo.oxfordjournals.org/content/32/4/466.fullMajeroni Orthodontics, Ghilherme Janson and Fabricio Valarelli ,http://ejo.oxfordjournals.org/content/32/4/466.full A big factor in the way your teeth grow is their relation to your lips and tongue. BALANCE OF PRESSURE from the lips pushes the teeth inward, while pressure from the tongue pushes the teeth outward, To keep your teeth straight, there must be a perfect balance of pressure between these tow forces . OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 20. 4-Deep bite - Cephalometric evaluation M. ABOULNASER - O. SANDID ODI = Overbite Depth Indicator. _________________ *FH-FP = Frankfort -facial plane (N-Po). ________________ *LP = Labial Position *EL = Esthetic Line. _________________ *IIA = Inter incisal Angle -------------------------- O line- MP=20 deg if sup 25 lower incisor intrusion ----------------------- O line –PP =10, If sup 15 deg, upper incisor intrusion ------------------------ Acute cranial base angle ---------------------------- Reduced Y axix ---------------------------- Increased ramal length ----------------------------- Forward growth rotation Md ---------------------------------------- OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 21. 4-Deep bite - Cephalometric evaluation M. ABOULNASER - O. SANDID OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 22. 4-Vertical proportions of face: Facial Height M. ABOULNASER - O. SANDID Trichion, HairlineTrichion, Hairline Nasion, GlabellaNasion, Glabella SubnasaleSubnasale Gnathion, MentonGnathion, Menton MidfaceMidface Lower faceLower face Upper faceUpper face OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 23. 5-Deep bite Treatment OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 24. 5-Deep bite Treatment M. ABOULNASER - O. SANDID a-Principes: Molar intrusion, Incisor extrusion b-Maxillary and mandibular Connecticut Intrusion Arches c-Rickett’s utility arch d-Burstone’s intrusion arch e-Using reverse-curved archwires f-Deep bite Treatment with mini-scrwes g-Removable appliances- Anterior inclined Bite Plan, Clear Aligner h-Functional appliances , Mandibular advancement, Frankel  i-Class II intermaxillary elastics j-Orthognathic surgery K-Cervical pull headgear to maxillary first molars-hook headgear to the upper labial segment 5l-Bite turbo 5m-Lingual technique 5n-Leveling the curve of Spee 50-Deep bite - Bracket Placement OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 25. 5a-Deep bite Treatment a- Principes: Incisor intrusion, Molar extrusion Madhur Upadhyay, Ravindra NandaMadhur Upadhyay, Ravindra Nanda Incisor intrusion Molar extrusion OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 26. 5b-Deep bite Treatment  Intrusion force system consists of anterior intrusive force, posterior extrusive force, and posterior tipback moment. b-Maxillary and mandibular Connecticut Intrusion Arches RAVINDRA NANDA, ROBERT MARZBAN, ANDREW KUHLBERG, JCO, VOLUME 32 : NUMBER 12 : PAGES (708-715) 1998RAVINDRA NANDA, ROBERT MARZBAN, ANDREW KUHLBERG, JCO, VOLUME 32 : NUMBER 12 : PAGES (708-715) 1998 OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 27. 5c-Deep bite Treatment M. ABOULNASER - O. SANDID 5c-Deep bite Treatment M. ABOULNASER - O. SANDID c-Rickett’s utility arch OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 28. 5d-Deep bite Treatment5d-Deep bite Treatment http://m.blog.daum.net/orthosu/7892617http://m.blog.daum.net/orthosu/7892617 D-Burstone’s intrusion arch- 3-pieces OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 29. 5e-Deep bite Treatment-Using reverse-curved archwires Deep bite be treated by extrusion of posterior teeth, intrusion of maxillary and/or mandibular incisors or a combination of procedures Elastics OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 30. 5f- Reduction Gummy Smile Using Miniscrew Anchorage JAMES CHENG-YI LIN, ERIC JEIN-WEIN LIOU, S. JAY BOWMAN, © 2010 JCO, VOLUME XLIV NUMBER 3JAMES CHENG-YI LIN, ERIC JEIN-WEIN LIOU, S. JAY BOWMAN, © 2010 JCO, VOLUME XLIV NUMBER 3 “Gummy smiles” 1,2—En masse upper and lower anterior retraction; 3,4—En masse upper and lower anterior intrusion
  • 31. 5f-Micro Implants for Intrusion and Retraction Amarnath B.C Prashanth C.S Dharma R.M , IJCD • NOVEMBER, 2010 • 1(2) © 2010 Int. Journal of Contemporary DentistryAmarnath B.C Prashanth C.S Dharma R.M , IJCD • NOVEMBER, 2010 • 1(2) © 2010 Int. Journal of Contemporary Dentistry OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 32. 5f-Deep bite Treatment with mini-screws M. ABOULNASER - O. SANDID Upper and lower incisor intrusion when it is desirable to have these teeth tip buccally. Upper and lower incisor intrusion when it is desirable to maintain teeth’s axial tipping. Telma Martins de Araújo, Mauro Henrique Andrade Nascimento, Dental Press J. Orthod. v. 13, no. 5, p. 36-48, Sep./Oct. 2008Telma Martins de Araújo, Mauro Henrique Andrade Nascimento, Dental Press J. Orthod. v. 13, no. 5, p. 36-48, Sep./Oct. 2008 OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 33. 5f-Deep bite Treatment5f-Deep bite Treatment F-Deep bite Treatment with mini-screws Tülin Uğur TANER, Soner KAMACI DDS, Bahadır GİRAY DDS, Hacettepe Dişhekimliği Fakültesi Dergisi Cilt: 31, Sayı: 3, Sayfa: 44-51, 2007Tülin Uğur TANER, Soner KAMACI DDS, Bahadır GİRAY DDS, Hacettepe Dişhekimliği Fakültesi Dergisi Cilt: 31, Sayı: 3, Sayfa: 44-51, 2007 Initial Initial Final Final OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 34. 5f-Deep bite Treatment with mini-screws5f-Deep bite Treatment with mini-screws OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 35. 5g-Deep bite Treatment M. ABOULNASER - O. SANDID Removable appliances- Anterior inclined Bite Plan Overbite correction with Removable Appliances, the posterior teeth should be separated by about 2-3 mm- anterior bite plane that causes a posterior disclusionhttp://dentallecnotes.blogspot.com/http://dentallecnotes.blogspot.com/ OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 36. 5g-Deep bite Treatment http://orthocj.com/2011/03/a-new-fixed-acrylic-bite-plane-for-deep-bite-correction/http://orthocj.com/2011/03/a-new-fixed-acrylic-bite-plane-for-deep-bite-correction/ Pre-treatment With fixed bite plane  Occlusal view Post-treatment Fixed Acrylic Bite Plane for Deep Bite Correction OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 37. 5g-Deep bite Treatment5g-Deep bite Treatment Deep-Bite Correction Using a Clear Aligner and Intramaxillary Elastics JAE HYUN PARK, TAE WEON KIM, JCO/MARCH 2009JAE HYUN PARK, TAE WEON KIM, JCO/MARCH 2009 Initial Final OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 38. 5h-Deep bite Treatment M. ABOULNASER - O. SANDID Functional appliances, Mandibular advancement, Frankel Before After OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 39. 5h-Early Treatment of A Class II, Division 2 Malocclusion Trainer for Kids (T4K) Miroslava Dinkova, http://www.journal-imab-bg.org -/ J of IMAB. 2014, vol. 20, issue 5/Miroslava Dinkova, http://www.journal-imab-bg.org -/ J of IMAB. 2014, vol. 20, issue 5/ OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 40. 5h-Deep bite Treatment Aditya Chhibber, Madhur Upadhyay, Ravindra Nanda,http://www.orthodonticproductsonline.com/Aditya Chhibber, Madhur Upadhyay, Ravindra Nanda,http://www.orthodonticproductsonline.com/ Twin Force Bite Corrector Intial Final OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 41. 5i-Deep bite Treatment5i-Deep bite Treatment Before & After Treatment Results Class II Divison 1 Deep bite-intermaxillary elastics OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 42. 5j-Deep bite Treatment Maurice Y. Mommaerts, Evelyn Asselman,Maurice Y. Mommaerts, Evelyn Asselman, Orthognathic surgery, Class II, deep bIte, prominent Chin Intial Final OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 43. 5k-Deep bite Treatment http://www.angle.org/doi/pdf/10.1043/0003-3219%282004%29074%3C0480%3ATROAHP%3E2.0.CO%3B2http://www.angle.org/doi/pdf/10.1043/0003-3219%282004%29074%3C0480%3ATROAHP%3E2.0.CO%3B2 K-hook headgear to the upper labial segment OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 44. 5k-Deep bite Treatment Amarnath B.C Prashanth C.S Dharma R.M , IJCD • NOVEMBER, 2010 • 1(2) © 2010 Int. Journal of Contemporary DentistryAmarnath B.C Prashanth C.S Dharma R.M , IJCD • NOVEMBER, 2010 • 1(2) © 2010 Int. Journal of Contemporary Dentistry k-hook headgear to the upper labial segment OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 45. 5l-Bite turbos OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 46. 5m-Deep bite Incognito-Lingual braces Intial Final OUSSAM A SANDID MOHAMA D ABOULNA SER, OUSSAM A SANDID DENTIST, OUSSAM A ALSANDID ORTHOD ONTIST, MOHAMA D ABOULNA SER ORTHOD ONTIST, ALHUSSAI N IBRAHIM ORTHOD ONTIST USA VIRGINIA
  • 47. 5n-Deep bite Treatment Leveling the curve of Spee https://tspace.library.utoronto.ca/bitstream/1807/33470/7/Nardone_Jessica_201211_MSc_thesis.pdfhttps://tspace.library.utoronto.ca/bitstream/1807/33470/7/Nardone_Jessica_201211_MSc_thesis.pdf Extrusion of molars and resultant downward and backward mandibular rotation (solid line = pre-treatment; dotted line = post-treatment) OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 48. Complications -Intrusion in Orthodontics and root resorption OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 49. 50-Deep bite - Bracket Placement http://pocketdentistry.com/principle-7-build-treatment-into-bracket-placement/http://pocketdentistry.com/principle-7-build-treatment-into-bracket-placement/ OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 50. 6-Biomechanical Considerations FLAVIO URIBE, RAVINDRA NANDA, VOLUME XXXVII NUMBER 11 © 2003 JCO, Inc. Force system and ligation points of intrusion arch in Class II, division 2 malocclusion. Intrusion arch produces anterior tipback moment and intrusive force along with extrusive force on molars. OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 51. Biomechanical Considerations FLAVIO URIBE, RAVINDRA NANDA, VOLUME XXXVII NUMBER 11 © 2003 JCO, Inc. Canine retraction with .016" × .022" stainless steel base arch and overlay intrusion arch for anchorage and incisor control. OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 52. Biomechanical Considerations FLAVIO URIBE, RAVINDRA NANDA, VOLUME XXXVII NUMBER 11 © 2003 JCO, Inc. .017" × .025" CNA mushroom-loop archwire after intraoral activation. OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 53. Deep bite TreatmentDeep bite Treatment Burstone- 3-pieces Intrusion Arch Wire Sergei Godeiro Fernandes Rabelo Caldas, Alexandre Antonio Ribeiro, http://www.scielo.br/pdf/dpjo/v19n2/2176-9451-dpjo-19-02-00126.pdfSergei Godeiro Fernandes Rabelo Caldas, Alexandre Antonio Ribeiro, http://www.scielo.br/pdf/dpjo/v19n2/2176-9451-dpjo-19-02-00126.pdf OUSSA MA SANDID MOHA MAD ABOUL NASER, OUSSA MA SANDID DENTIST , OUSSA MA ALSAND ID ORTHO DONTIS T, MOHA MAD ABOUL NASER ORTHO DONTIS T, ALHUSS AIN IBRAHI M ORTHO DONTIS T USA VIRGINI A
  • 54. 7-Case report • Class II divison 1 deep bite • Class II division 2 Deep bite OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 55. Class II divison 1 deep bite case 1 M. ABOULNASER - O. SANDID Class II divison 1 deep bite case 1 M. ABOULNASER - O. SANDID Before & After Treatment  Results OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 56. Class II division 2 Deep bite: case 2 M. ABOULNASER - O. SANDID Class II division 2 Deep bite: case 2 M. ABOULNASER - O. SANDID Before & After Treatment  Results OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIS T, MOHAMAD ABOULNASER ORTHODONTIS T, ALHUSSAIN IBRAHIM ORTHODONTIS T USA VIRGINIA
  • 57. Class II division 2 Over Bite and Narrow Arch: case 3Class II division 2 Over Bite and Narrow Arch: case 3 http://www.hodgesortho.com/photogallery/amazing-smiles-11602/over-bite-and-narrow-arch-45452http://www.hodgesortho.com/photogallery/amazing-smiles-11602/over-bite-and-narrow-arch-45452 OUSSAMA SANDID MOHAMAD ABOULNASER, OUSSAMA SANDID DENTIST, OUSSAMA ALSANDID ORTHODONTIST, MOHAMAD ABOULNASER ORTHODONTIST, ALHUSSAIN IBRAHIM ORTHODONTIST USA VIRGINIA
  • 58. Conclusion • Deep anterior bites are a common problem amongst patients with correction of deep overbites often a strong functional indication for orthodontic treatment. Uncorrected deep bites may lead to loss of tooth structure due to attrition, as well as periodontal compromise due to traumatic occlusion and impingement. It is important to assess the patient facially, skeletally and dentally to ensure correct diagnosis of the vertical dimension. Identification of the aetiology of the deep bite will allow formulation of appropriate treatment mechanics. OUSSAMA SANDID- MOHAMAD ABOULNASER-OUSSAMA SANDID DENTIST-OUSSAMA AL SANDID ORTHODONTIST-MOHAMAD ABOULNASER ORTHODONTISiT-MOHAMAD ABOULNASER DENTIST ALHUSSAIN IBRAHIM ORTHODONTIST DENTIST USA VIRGINIA
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