Influence of the oclusal plane on mandibular adaptation in hyperdivergent skeletal Class II malocclusions
Keywords:
Malocclusion, Angle Class II, Dental occlusionAbstract
Hyperdivergent Skeletal Class II malocclusion is one of the most difficult to treat due to the different components involved in this type of malocclusion, whether due to maxillary or mandibular involvement or both. The objective of this review is to update the knowledge on how the occlusal plane influences the anticlockwise rotation of the mandible, which is a key point in the successful treatment of hyperdivergent skeletal Class II malocclusion due to mandibular retrusion. Two different approaches are also presented in the management of the occlusal plane and therefore of the vertical dimension in this type of patient; the first emphasizes molar intrusion as a vertical control measure to avoid a mandibular clockwise rotation and the other bases the treatment on molar extrusion increasing the postero-superior vertical dimension which could bring the mandible to a more advanced, physiological and functional position, bringing I get a condylar adaptation. In this sense, the management of the occlusal plane can be achieved in adolescent patients without growth by means of the multiloop edgewise arch wire (MEAW) and in growing patients by means of the extraoral arch (AEO). It can be concluded that both treatment schemes can be valid; However, more clinical studies are needed to demonstrate that which represents long-term treatment stability while maintaining adequate mandibular function and adaptation and which has an impact on an aesthetic improvement of the facial profile.
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Thilander B, Pena L, Infante C, Parada SS, Mayorga C De. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota , Colombia . An epidemiological study related to different stages of dental development. Eur J Orthod. 2001;23:153–67.
Angle E. Clasifications of malocclusion. Dent Cosm. 1899;41:248–64.
Mcnamara JA, Peterson JE, Alexander RG. Three-Dimensional Diagnosis and Management of Class II Malocclusion in the Mixed Dentition. Semin Orthod. 1996;2(2):114–37.
Ishida Y, Ono T. Nonsurgical treatment of an adult with a skeletal Class II gummy smile using zygomatic temporary anchorage devices and improved superelastic nickel-titanium alloy wires. Am J Orthod Dentofac Orthop. 2017;152(5):693–705.
Cozza P, Marino A, Franchi L. A Nonsurgical Approach to Treatment of High-Angle Class II Malocclusion. Angle Orthod. 2008;78(3):553–60.
Franzotti E, Anna S, Carneiro A, Brunetto DP, Franzotti C, Anna S. Camouflage of a high-angle skeletal Class II open-bite malocclusion in an adult after mini-implant failure during treatment. Am J Orthod Dentofac Orthop. 2017;151(3):583–97.
Kato S, Chung W-N, Kim J-L, Sato S. Morphological Characterization of Different Types of Class Malocclusion. Bull Kanagawa Dent Coll. 2002;30(2):93–8.
Mcnamara JA. Components of Class II Malocclusion in Children 8-10 Years of Age. Angle Orthod. 1981;51(3):177–202.
Farella M, Michelotti A, Tmgj VE, The MR. The curve of Spee and craniofacial morphology : a multiple regression analysis. Eur J Oral Sci. 2002;110:277–81.
Fushima K, Kitamura Y, Mita H, Sato S, Suzuki Y, Kim YH. Significance of the cant of the posterior occlusal plane in Class II division 1 malocclusions. Eur J Orthod. 1996;18:27–40.
Krogman WM. THE FACE IN PROFILE. An Anthropogical X-ray Investigation on Swedish Children and Conscripts. By Arne Bjork. Am J Phys Anthropol. 1947;40:121–5.
Bushra E. Variations In the Human Facial Patetern In Norma Lateralis. Angle Orthod. 1948;18:100–2.
Downs WB. Variations in facial relationships :their significance in treatment and prognosis. Am J Orthod Dentofac Orthop. 1948;34:812–40.
Schudy FF. Cant of the occlusal plane and axial inclination of teeth schudy. Angle Orthod. 1963;33(2):69–82.
Okuhashi S, Basili C, Akimoto S, Tanaka EM. Three-Dimensional Computer Tomographic Analysis of the Influence of the Cant of the Occlusal Plane in Different Craniofacial Morphology. Bull Kanagawa Dent Coll. 2011;39(9):89–99.
Tanaka EM, Sato S. Longitudinal alteration of the occlusal plane and development of different dentoskeletal frames during growth. Am J Orthod Dentofac Orthop. 2008;134(11):e1–11.
Kim J Il, Takehiko H, Akimoto S, Shinji H, Tanaka EM, Sato S. Longitudinal Study Regarding Relationship among Vertical Dimension of Occlusion, Cant of Occlusal Plan e and Antero-posterior Occlusal Relation. Bull Kanagawa Dent Coll. 2005;34:130–2.
Kim JI, Akimoto S, Shinji H, Sato S. Importance of vertical dimension and cant of occlusal plane in craniofacial development. Int J Stomatol Occlusion Med. 2009;2:114–21.
Akimoto S, Kubota M, Sato S. Increase in vertical dimension and maxillo-mandibular growth in a longitudinal growth sample. Int J Stomatol Occlusion Med. 2010;3:15–9.
Inami T, Nakano Y, Miyazawa K, Tabuchi M, Goto S. Adult skeletal Class II high-angle case treated with a fully customized lingual bracket appliance. Am J Orthod Dentofac Orthop. 2016;150(4):679–91.
Inami T, Ito G, Miyazawa K, Tabuchi M, Goto S. Ribbon-wise customized lingual appliance and orthodontic anchor screw for the treatment of skeletal high-angle maxillary protrusion without bowing effect. Angle Orthod. 2018;88(6):830–40.
Wang X, Zhang J, Liu D, Lei F, Liu W, Song Y, et al. Nonsurgical correction using miniscrew-assited vertical control of a severe high angle with mandibular retrusion and gummy smile in an adult. Am J Orthod Dentofac Orthop. 2017;151(5):978–88.
Sambataro S, Lorusso ÃP, Caprioglio ÃA, Franchi L, Cicciu M. Changes of Occlusal Plane in Growing Patients With Increased Vertical Dimension During Class II Correction by Using Cervical Headgear. J Craneofacial Surg. 2020;31(1):172–7.
Sambataro S, Fastuca R, Oppermann NJ, Lorusso P, Baccetti T, Franchi L. Cephalometric changes in grownig patients with increased vertical dimension treated with cervical headgear. J Orofac Orthop. 2017;78(4):312-320.
Zervas ED, Galang-boquiren MTS, Obrez A, Grace M, Viana C, Oppermann N, et al. Change in the vertical dimension of Class II. Am J Orthod Dentofac Orthop. 2016;150(5):771–81.
Barahona C. JB, Benavides S. J. Principales análisis cefalométricos utilizados para el diagnóstico ortodóntico. Rev Cient Odontol. 2006;2(1):11–27.
Steiner CC. Cephalometrics for you and me. Am J Orthod. 1953;39(10):729–55.
Ricketts RM; Perspectives in the Clinical Application of Cephalometrics. Angle Orthod. 1981;51(2):115–50.
Delaire J, Schendel SA, Tulasne J. An architectural and structural craniofacial analysis : A new lateral cephalometric analysis. J Oral Surg (Chic). 1981;52(9):226–38.
Ardani IGAW, Wicaksono A, Hamid T. The Occlusal Plane Inclination Analysis for Determining Skeletal Class III Malocclusion Diagnosis. Clin Cosmet Investig Dent. 2020;12:163–71.
Li J, Kau CH, Wang M. Changes of occlusal plane inclination after orthodontic treatment in different dentoskeletal frames. Prog Orthod. 2014;15:1–10.
Greven M, Cazacu I, Piehslinger E. Correlation of Occlusal-Plane-Inclination with Functional Condylar Displacement in Different Skeletal Classes. Int J Dent Oral Heal. 2020;6(3):1–7.
Celar A, Tafaj E, Graf A, Letner S. Association of anterior and posterior occlusal planes with different Angle and skeletal classes in permanent dentitions. J Orofac Orthop. 2018;(3):1–9.
Sato Sadao. Case Report: Developmental characterization of skeletal Class III malocclusion. Angle Orthodontist; 1994. p. 105–11.
Vukusic N, Lapter M, Muretic Z. Change in the Inclination of the Occlusal Plane during Craniofacial Growth and Development. Coll Antropol. 2000;24(1):145–50.
Batwa W, Hunt NP, Petrie A, Gill D. Effect of occlusal plane on smile attractiveness. Angle Orthod. 2012;82(2):218–23.
Senisik NE, Hasipek S. Occlusal Cant : Etiology , Evaluation , and Management. Turkish J Orthod. 2015;27(4):174–80.
Braun S, Legan HL. Changes in Oclussion related to the cant of the occlusal plane. Am J Orthod Dentofac Orthop. 1997;111(1):184–8.
Ogawa T, Koyano K, Suetsugu T. Correlation between inclination of occlusal plane and masticatory movement. J Dent. 1998;26(2):105–12.
Raymond J, Matern O, Grollemund B, Bacon W. Treatment of Class III malocclusion : the key role of the occlusal plane. Prog Orthod. 2010;11(1):53–61.
Dawson P. Oclusión funcional: Diseño de sonrisa a partir del ATM. Amolca, editor. 2009. 196-206 p.
Zimmer B, Nischwitz D. Therapeutic changes in the occlusal plane inclination using intermaxillary elastics. J Oral Surg (Chic). 2012;(5):377–86.
Wang X, Zhang J, Liu D, Lei F, Zhou Y. Nonsurgical correction of a severe anterior deep overbite accompanied by a gummy smile and posterior scissor bite using a miniscrew-assisted straight-wire technique in an adult high-angle case. Korean J Orthod. 2016;46(4):253–65.
Shimo T, Nishiyama A, Jinno T, Sasaki A. Severe Gummy Smile with Class II Malocclusion Treated with LeFort I Osteotomy Combined with Horseshoe Osteotomy and Intraoral Vertical Ramus Osteotomy. Acta Med Okayama. 2013;67(1):55–60.
Giancotti A. Nonextraction treatment of a high-angle Class II malocclusion : A case report. Am J Orthod Dentofac Orthop. 2000;117(6):721–7.
Khun RJ. Control of Anterior Vertical Dimension and Proper Selection of Extraoral Anchorage. Angle Orthod. 1967;38(4):340–9.
Perez Cortez G, Soto Castro TA, Gallardo Alfaro NI, Isais Peña IS. Open bite treatment with first molar extraction. Case report. Rev me. 2015;3(4):266–73.
Staggers JA. Vertical changes following first premolar extractions. Am J Orthod Dentofac Orthop. 1994;105(1):19–24.
Hans MG, Groisser G, Damon C, Amberman D, Nelson S, Palomo JM. Cephalometric changes in overbite and vertical facial height after removal of 4 first molars or first premolars. Am J Orthod Dentofac Orthop. 2006;130(8):183–8.
Sivakumar A, Valiathan A. Cephalometric assessment of dentofacial vertical changes in Class I subjects treated with and without extraction. Am J Orthod adn Dentofac Orthop. 2008;133(6):869–75.
Gkantidis N, Halazonetis DJ, Alexandropoulos E, Haralabakis NB. Treatment strategies for patients with hyperdivergent Class II Division 1 malocclusion: Is vertical dimension affected? Am J Orthod Dentofac Orthop. 2011;140(3):346–55.
Root TL. The level anchorage system for correction of orthodontic malocclusions. Am J Orthod. 1981;80(4):395–410.
Rodriguez J. Tratamiento no quirurgico de la maloclusion Clase II de angulo alto y mordida abierta. Rev Latinoam Ortod y Odontopediatria. [Internet]. 2010. [citado el 15 de marzo de 2021]. Disponible en: https://www.ortodoncia.ws/publicaciones/2010/art-14/(fecha de acceso: 06 de marzo 2021)
Fernández Ysla R, Marín Manso G, Otaño Laffite G, Pérez López M, Delgado Carrera L. Los bloques gemelos. Uso y construcción del aparato convencional. Rev Cubana Estomatol. 2005;42(3):1–8.
Ruf S, Pancherz H. The effect of Herbst appliance treatment on the mandibular plane angle : A cephalometric roentgenographic study. Am J Orthod Dentofac Orthop. 1996;110(8):225–9.
Schiavoni R, Orthodontics S, Grenga V. Treatment of Class II high angle malocclusions with the Herbst appliance : A cephalometric investigation. Am J Orthod Dentofac Orthop. 1992;102(5):393–409.
Weinberg LA. The role of stress , occlusion , and condyle position in TMJ dysfunction-pain. J Prosthet Dent. 1983;49(4):532–45.
Coro JC, Velasquez RL, Coro IM, Wheeler TT, Mcgorray SP, Sato S. Relationship of maxillary 3-dimensional posterior occlusal plane to mandibular spatial position and morphology. Am J Orthod Dentofac Orthop. 2016;150(1):140–52.
Sato S, Kaneko M, Sasaguri K, Tanaka EM, Celar A. Different Mechanics for Orthodontic Correction of Class II Openbite and Class III Openbite Malocclusions. Bull Kanagawa Dent Coll. 2007;35(1):65–77.
Kim YH, Han UK. The versatility and effectiveness of the Multiloop Edgewise Archwire (MEAW) in treatment of various malocclusions. World J Orthod. 2001;2(3):208–18.
Liu J, Zou L, Zhao Z, Welburn N, Yang P, Tang T, et al. Successful Treatment of Postpeak Stage Patients with Class Ⅱ Division 1 Malocclusion Using Non-extraction and Multiloop Edgewise Archwire Therapy : A Report on 16 Cases. Int J Oral Sci. 2009;1(4):207–16.
Sato S, Susumu A, Matsumoto A, Shirasu A. Manual for the Clinical Aplication of MEAW Technique. Dental College. 2001
Ye R, Li Y, Li X, Li J, Wang J, Zhao S, et al. Occlusal plane canting reduction accompanies mandibular counterclockwise rotation in camouflaging treatment of hyperdivergent skeletal Class II malocclusion. Angle Orthod. 2013;83(5):758–65.
Lima Filho RMA, Lima AL, De Oliveira Ruellas AC. Longitudinal Study of Anteroposterior and Vertical Maxillary Changes in Skeletal Class II Patients Treated with Kloehn Cervical Headgear. Angle Orthod. 2003;73(2):187–93.
Do Ho H, Akimoto S, Sato S. Occlusal Plane and Mandibular Posture in the Hyperdivergent Type of Malocclusion in Mixed Subjects. Bull Kanagawa Dent Coll. 2002;30(9):87–92.
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