Complexity of malocclusions.
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Biomedical subjects
Publications and source records attributed to B J Selwyn-Barnett.
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This paper presents a method of cephalometric treatment planning for Class II division 2 malocclusions. The method combines improvement in dental and facial aesthetics, with reduction in overbite and inter-incisor angle. An individual case is illustrated; examples of the appliances commonly used being shown in the treatment of an adolescent patient.
A case of temporary lip paraesthesia that developed during orthodontic treatment is described. This serves to highlight one of the complications that might be encountered in adult orthodontic therapy.
Class II, division 2 malocclusion is a clinical entity which presents considerable difficulty in the provision of a stable treatment result. This article sets out the problems encountered, reviews teaching on the subject over a 20-year period and attempts to rationalize the current approach to treatment. The rationale presented shows the three-dimensional nature of the occlusal problem, and discusses the justification for expansion and proclination of lower incisors in relation to soft tissue influences and stability. The importance of correcting edge-centroid relationship and reducing inter-incisor angle is stressed. Non-extraction therapy, with some lower arch expansion and incisor advancement, is recommended and the reasoning behind this is explained with a case example to illustrate the points involved.