Early Orthodontic Management of Class 2 malocclusions - Part 1

May 29, 2021

In this Part 1 for dentists on skeletal Class 2 malocclusions, Dr Andrew Chang Orthodontist shares with Dr Diane Tay identifying features, risk factors and the differential diagnosis of Class 2 malocclusions. We cover the areas below: 

1.  Diagnosis
   • Facial: Small lower jaw
   • Dental ie: Class 2 div 1 or div 2’s
   • Radiographic
   • Assessing skeletal maturation and its importance in success. The Lateral Ceph x-ray
2. Risks factors:
   • Hx of anterior overjet getting larger- why this is the case
   • Difficulty chewing and slow eater.
   • Traumatic deep bites and teeth wear, gingival recession
   • Trauma upper incisors
   • Bullying: psychosocial
   • Open mouth posture and gingival inflammation due to drying of the gingivae
3. Differential Diagnosis: Proclined U incisors, Normal Maxillomand relationships