Class II and Class III Malocclusions Explained
Class II Malocclusion
Dental Origin
- Features: Distal position of the inferior teeth relative to the superior teeth.
- Etiology: Mesial migration of superior incisors, caries, or premature loss of deciduous teeth.
Skeletal Origin
- Characteristics: Inadequate development or jaw position.
- Etiology: Basic bone dysplasia of the maxilla and mandible, genetic factors, environmental factors, trauma, and temporomandibular joint (TMJ) pathology.
Class II Subdivisions
Division 1
- Facial features: Convex profile, lip incompetence, chin hypertonicity in open bite, superior procheilia, and inverted lower lip.
- Skeletal features: Hypergonian, open mandibular plane, open bite, and increased facial height.
- Dental characteristics: Vestibuloversion of superior incisors and extrusion with diastema, linguoversion of inferior incisors with crowding, anterior open bite, increased overjet, and a pronounced Curve of Spee.
Division 2
- Facial features: Convex or straight profile, diminished facial height, brachycephalic, pronounced labiomental groove, and superior retrocheilia.
- Skeletal features: Deep bite and decreased facial height.
- Dental characteristics: Distal molar and canine relationship, palatally inclined superior central incisors, lingualized inferior incisors, vestibuloversion of canines, deep bite, increased overbite, and in some cases, anterior-inferior crowding.
Class III Malocclusion
Skeletal defect in the intermaxillary relationship, characterized by maxillary or mandibular bone dysplasias.
Dental Origin
- Characteristics: Mesial molar and canine relationship, anterior crossbite, anterior deep bite, and negative overjet.
- Etiology: Eruptive disorders, tooth size discrepancies, residual growth, and pseudo-prematurities (pseudo-Class III due to anterior mandibular displacement or breathing difficulties).
Skeletal Origin
- Characteristics: Mandibular protrusion, maxillary retrusion, or a combination of both.
- Etiology: Genetics (bone dysplasia linked to race).
Individual Dental Malpositions
- Version (Inclination): Teeth are inclined around their horizontal axis. Types include labioversion, lingualversion, mesioversion, and distoversion.
- Gression (Position): The tooth is not in its correct position in the dental arch. Types include labiogression, linguogression, mesiogression, distogression, egression (extrusion), and ingression (intrusion).
- Rotations: Rotation of the tooth around its long axis without displacement. Types include distobuccal, distopalatal, mesiobuccal, or mesiopalatal rotation.
- Transposition: Positional exchange between two adjacent teeth in the dental arch.