Class II Division 2 malocclusion is widely considered one of the most complex bite types to treat.
Patients typically have a retruded lower dental arch and upper front teeth that tilt inward, often accompanied by a deep bite. This leads to restricted jaw movement and muscle imbalance.
In this case, the patient—presented with a severe deep bite: when biting down, his lower front teeth were completely hidden behind the upper ones, even contacting the upper gums. Left untreated, this could lead to long-term issues such as gum injury, bone loss, root exposure, and tooth mobility.
Moreover, the inward tilt of the upper incisors not only made the roots more prominent, but also limited the natural movement of the lower jaw, making it hard for the patient to find a comfortable, confident way to smile.
Although extraction might seem like the simpler path, it would not have addressed the deep bite or improved the facial profile.
Instead, we took the more challenging route—non-extraction treatment. This allowed us to correct the deep bite, increase the vertical dimension, and improve the lower facial proportion, helping the patient appear more youthful and energetic.
We are truly grateful for his trust and cooperation throughout this process. Seeing his final radiant, natural smile made every effort completely worthwhile!
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