Class II deep bite faces: one-phase or two-phase treatment?
Timing is the key for successful and stable results in Class II patients. Most low-angle patients are treated during the mixed dentition in two phases: orthopedics, then orthodontics. The vertical discrepancy differentiates the patient who will need extraction, the high-angle case, from those who should be treated through nonextraction, the low-angle case. Treatment of these latter patients necessitates expansion of the soft tissues. In the authors' practice, 70% of cases are treated nonextraction. This new concept for Class II treatment makes the Class II mechanics less traumatic because the occlusal correction requires less anchorage preparation. Most low-angle cases treated with two-phase treatment do not require surgical procedures. Orthodontics for tomorrow will necessitate more concept and less mechanics.
Horn
Andre J
AJ
andre.horn@wanadoo.fr
Thiers-Jegou
Isabelle
I
D002508:Cephalometry; D002648:Child; D003818:Dentition, Mixed; D017050:Episode of Care; D005145:Face / Q000033:anatomy & histology; D006801:Humans; D008297:Male; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D008445:Maxillofacial Development; D024343:Open Bite / Q000628:therapy; D016910:Orthodontic Brackets; D009971:Orthodontics, Corrective / Q000379:methods*; D010155:Palatal Expansion Technique; D063173:Retrognathia / Q000628:therapy; D013997:Time Factors; D014081:Tooth Extraction; D014716:Vertical Dimension