Solving a Class 2 skeletal abnormalities by using the Occlus a Guide;

Chinici Salvatore ; Luca Lamia ; Toda Ioana;

ABSTRACT.
Orthodontics provides preventive treatments intreceptiv be interprinse in an
early period .
This can be achieved by devices Occlus a Guide, it is designed so as to provide
lower front tooth forces that determine the posterior teeth to erupt in a
vertical position .This myofunctional regulator tends to rebalance the muscle
forces, atypical swallowing, breathing atypical being used to correct Angle
class 2 reports with any level of seriousness of overbit and overjet
KEY WORDS: Orthodontics inteceptiv, Occluss a Guide, Class 2 Angle.
INTRODUCTION :
The ideal period for initiation of treatment in most cases not showing ovebite
and exaggerated overjet is preferable to be carried out first before you as
mandibular molars or canines temporary presence only being exfoliated teeth
permanently .In Occlus a Guide technique is quite limited due to available
space to correct crowding is little or no reason .Is important to start treatment
during the eruption of the lower canines is that the maximum number of
permanent teeth to be antagonists erupted before the start of collagen
formation.
An overbite up to 4 mm can be corrected at any age but is preferably of the
treatment during growth transverse face because in this case is low because of
relapse treatment overbiteului .Autorul considered stable if the correction is
carried out before 22 years before the boys and 18 girls.
Measurements are made on the four upper incisors or lower, with a Guide .If
Occlus measurements are used on the upper arch, distal surface of the stopper
is on the left lateral incisor and measured to the distal surface of right lateral

incisor. Measurements must adapt precisely. In the presence of space is

necessary to use a lower measures, and in case of

cramped greater .This technique is also used to lower.

A proper treatment procedure requires the patient monthly control in the first
5 luni.Controls have the sole purpose of using the device for an appropriate
period of time and each representing a step .
Every control measurements must be made of overbite, overjet, temporo
mandibular joint .Usually in less serious cases full correction is performed in
5 months in more serious cases, it can reach up to 10 months of active
implementation .After the first 5 controlled patient coming months to 2
months

CASE PRESENTATION:
Diagnosis: Class 2 Division 1 normodivergent Angle with reduced
length of the mandibular body, xi Pm -reduced.
Before treatment overbit
and overjet were grown and as I cross bite with mandibular deviation in PIM
The treatment objective: a Guide Occlus device solved the
problem by correctingtransverse dimension to the upper
jaw and a valid functional jaw position, the overjet correction and overbit
has avoided hiperfunction upper and lower incisor groupwhile
also eliminating interference myofunctional
Results: At the end of treatment highlights a situation Dental
and skeletal class 1Angle.

Start of the tratament :5 years si 11 months ;

Final of the treatement: 6 years si 11 months ;
Devices used : Occlus o Guide seria *G*4;
Occlus o Guide seria *N*5;
Using device: only at night;
CAZ CLININC 2

Diagnosis: After analyzing skeletal and cephalometric highlights a class 2

Angle with increased overbite and overjet.
The goals of treatment: Clinical major problem is the lack of space for the
eruption of posterior left latero- sector with a combination of midline
deviation to the left.
Results: posttreatment cephalometric analysis shows a correction in Class 1
skeletal overjet correction.
End of treatment 13 years and 8 months;
Devices used: a Guide Occluse series * G * 4
Occluse a Guide Series * N * 5
Active therapy: 12 months, 2 hours day and every night;
Passive therapy: 12 months just wakened;
CONCLUSIONS:
Anecdotal data presented device can be used to correct skeletal anomalies
Class 2 with any severity of overbite and overjet as well as cross bite or
crowding up to 4mm are effective .Dispozitive given in a short time as long as
the patient is willing to work together to achieve treatment.