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INTRODUCTION
Deep bite is defined as a condition of excessive
overbite, where the vertical measurement
between maxillary and mandibular incisal
margins is excessive when mandible is brought
into habitual or centric occlusion.
Overjet implies horizontal overlapping of
incisors.
Overbite refers to vertical overlapping of
incisors.
CLASSIFICATION:
INCOMPLETE
DEEP BITE
COMPLETE
DENTAL
SKELETAL
Clinical features:
Extra oral features Decreased lower facial height
Intra oral features Increased overbite
Decreased overjet
Extruded maxillary anteriors
Intruded maxillary posteriors
Increased susceptibility to food impaction and resultant
gingivitis in lower anterior region
Cephalometric findings:
Increased interincisal angle
Clinical features:
Extra oral feature Decreased lower facial height
DIAGNOSIS:
Extraoral & intraoral examinations of the
patient should be thoroughly done &
history of oral habits to be noted
Following diagnostic aids are used:
Clinical examinations
Orthodontic study models- to evaluate extent
of severity of deep bite
Lateral cephalograms- to evaluate ramus
height, interincisal angle & Frankfort
mandibular plane angle.
REMOVABLE ORTHODONTIC
APPLIANCES
ANTERIOR BITE PLANE:
Used in conjunction with fixed mechanotherapy
It is the modified version of Hawleys removable
appliance with following features:
Adams clasps on molars- aid in retention of the bite
plane
Labial bow- prevents maxillary anterior proclination
Bite plane should be 1.5-2mm
MYOFUNCTIONAL APPLIANCES
Activator
Bionator
Frankel appliance
UTILITY ARCHES:
Arch wires used with fixed orthodontic appliances.
They are bent in such a way that they bypass the
premolars & are engaged on the incisors.
Activated by giving a V bend in the buccal segment of
the wire mesial to the molar to generate an intrusive
force on the incisors.
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