I need two extractions done to upper teeth. I've got a class II div II malocclusion with 100% deepbite. Just wondering if anyone out there has had this corrected without extractions???? I've had a consultation and I'm going for a second opinion but would like to hear other people stories!!!!
Just don't want to loose two perferct teeth!!!
Worried about extractions, Class II Div II malocclusion HELP
Moderator: bbsadmin
Hi Rosie,
Class II is the least common Angles classification statistically speaking. If you do not want to go the exraction route then you may be able to do it surgically (likely a bilateral sagital split osteotomy and potentially a Le Fort as well). But not knowing anything about your case I cannot say for sure. Extractions are a common treatment option in class II malocclusion.
Good Luck,
Rory
Class II is the least common Angles classification statistically speaking. If you do not want to go the exraction route then you may be able to do it surgically (likely a bilateral sagital split osteotomy and potentially a Le Fort as well). But not knowing anything about your case I cannot say for sure. Extractions are a common treatment option in class II malocclusion.
Good Luck,
Rory
Hi Rosie
Extracting 2 teeth (usually premolars) still seems to be one of the commonest methods of treating a class II. There are loads of people on this forum who've had extractions and most of them seem to concur that it's not that big a deal. I also have a class II but my case is a bit different because I already had 2 teeth out 30 years ago and my ortho didn't want to extract more.
There are other methods used to treat class II, such as distalization (moving back) of the top molars to make enough space to pull the top front teeth back into position; palate expansion (if your top arch is narrower than the bottom) and jaw surgery to bring the bottom jaw forwards so the teeth line up better.
Having said that, those might not be suitable for you as each case is different. Hopefully if you get another consultation or two, a pattern might start to emerge. If you felt rushed and not comfortable with this ortho, keep looking till you find one you do feel comfortable with. If you're in the US I believe that consults are usually free.
Good luck!
Extracting 2 teeth (usually premolars) still seems to be one of the commonest methods of treating a class II. There are loads of people on this forum who've had extractions and most of them seem to concur that it's not that big a deal. I also have a class II but my case is a bit different because I already had 2 teeth out 30 years ago and my ortho didn't want to extract more.
There are other methods used to treat class II, such as distalization (moving back) of the top molars to make enough space to pull the top front teeth back into position; palate expansion (if your top arch is narrower than the bottom) and jaw surgery to bring the bottom jaw forwards so the teeth line up better.
Having said that, those might not be suitable for you as each case is different. Hopefully if you get another consultation or two, a pattern might start to emerge. If you felt rushed and not comfortable with this ortho, keep looking till you find one you do feel comfortable with. If you're in the US I believe that consults are usually free.
Good luck!
Hi Rosie! I too, have a Class II Div II.... we tried with upper braces only for almost 8 months, well, it def fixed my crooked front teeth, but if correcting my arch it made my overjet worse....so I finally agreed to have 2 uppers removed ~2 weeks ago....it was a very hard decision - as you can see it took me 8 months to finally agree that the only other option was jaw surgery, and I do not feel that is the route for me... the extractions were 'routine', I was sedated LOL, lost my last stitch 2 days ago! Had my lowers braced 8 days ago now.... will get elastics end of the month to start closing the gaps!and moving those front teeth back. I did however, lose a molar bracket yesterday, so will go in tomorrow to see what they're going to do about that..... 
Uppers Braced 1/29/07; 2 Upper bicuspid extractions 9/14/07; Lowers braced 9/25/07
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RocknRollFun
- Posts: 42
- Joined: Fri Sep 14, 2007 12:50 pm
- Location: Oklahoma
You guys have me worried. 
I have a Class II, Division II malocclusion, with what I'm assuming was a 100% deep bite [correct me if I'm wrong, but my bottom teeth were completely behind my top teeth when my mouth was closed]. I see on my records I have an asymmetrical jaw with a Division I bite in the right/cuspid.
I wore TMJ bite splints for a long time to correct my bite due to jaw issues that suddenly worsened in my early/mid 20's. Now I'm finally in upper braces.
Not once has tooth extraction been mentioned to me, except to remove an impacted wisdom tooth and an upper wisdom tooth and to remove a baby tooth that's bravely put in a lot more years than it was supposed to. I think, however, these teeth [esp. the impacted and the baby tooth] would have to be removed no matter my bite.
From what I can tell, when my upper teeth are ready, I will have my bottoms braced and will use rubber bands to pull my bottom teeth up and out of the gum to meet my top teeth [working at one set at a time starting in the back]. Then I will have more bands to pull my jaw even more forward [the bite splints already moved my jaw forward some] since, when my retro inclined front teeth are straightened, I will have some sort of overbite.
I know this is probably more than you wanted to read, but I just wanted to give you a case where no mention of extractions were given.
Of course, my ortho might be pulling a fast one on me... in that case, I'll be here airing out my worries like you are, Rosie!
I have a Class II, Division II malocclusion, with what I'm assuming was a 100% deep bite [correct me if I'm wrong, but my bottom teeth were completely behind my top teeth when my mouth was closed]. I see on my records I have an asymmetrical jaw with a Division I bite in the right/cuspid.
I wore TMJ bite splints for a long time to correct my bite due to jaw issues that suddenly worsened in my early/mid 20's. Now I'm finally in upper braces.
Not once has tooth extraction been mentioned to me, except to remove an impacted wisdom tooth and an upper wisdom tooth and to remove a baby tooth that's bravely put in a lot more years than it was supposed to. I think, however, these teeth [esp. the impacted and the baby tooth] would have to be removed no matter my bite.
From what I can tell, when my upper teeth are ready, I will have my bottoms braced and will use rubber bands to pull my bottom teeth up and out of the gum to meet my top teeth [working at one set at a time starting in the back]. Then I will have more bands to pull my jaw even more forward [the bite splints already moved my jaw forward some] since, when my retro inclined front teeth are straightened, I will have some sort of overbite.
I know this is probably more than you wanted to read, but I just wanted to give you a case where no mention of extractions were given.
Of course, my ortho might be pulling a fast one on me... in that case, I'll be here airing out my worries like you are, Rosie!
"You're no rock n' roll fun! Like a party that's over before it begun. You're no walk in the park; more like a shot in the dark with clues left for no one."
Woooooaaah, hold on here.
I think some people may be confusing/generlizing Class II bites into "extractions is only treatment option". The Div 1 and Div 2 (deep bite) are very different, and normally require different treatment plans.
Rosie, in your case, you seem to have a similar profile to that of mine (check my pictures). I also have Class II, Div 2 (deep bite), with the front incisors covering the lowers, making me have to move my jaw back to connect my teeth.
Opposite to what has been suggested by some in this discussion, EXTRACTIONS are not an option in my case (it would further deepen my bite). What you need to do is OPEN the bite. If your upper arch is too narrow, in addition to SARPE surgery you can go the RPE expander route. I did, with success, at the tender age of 35.
To make you a Class II, Div 1, you would have to open the bite by slightly angling out your upper incisors in addition to correcting the Curve of Spee, which means erupting your lateral teeth so that your teeth connect earlier vertically. Erupting, not extracting.
It all depends on your diagnosis.
My recommendation in your case would be to ask your Ortho why an extraction is needed, what it would achieve, why not expanding your upper arch with an expander. If your Ortho can't explain properly, I would seek a second opinion.
Careful about extracting healthy teeth. Especially extracting only 1 tooth, that causes asymmetry and a potential disaster in your mouth.
Beware. I would not extract a tooth unless it was absolutely necessary and obvious to everyone that it was needed. E.g. if you have a large overjet. But that is not the case if you are a Class II, Div 2 (deep bite).
I think some people may be confusing/generlizing Class II bites into "extractions is only treatment option". The Div 1 and Div 2 (deep bite) are very different, and normally require different treatment plans.
Rosie, in your case, you seem to have a similar profile to that of mine (check my pictures). I also have Class II, Div 2 (deep bite), with the front incisors covering the lowers, making me have to move my jaw back to connect my teeth.
Opposite to what has been suggested by some in this discussion, EXTRACTIONS are not an option in my case (it would further deepen my bite). What you need to do is OPEN the bite. If your upper arch is too narrow, in addition to SARPE surgery you can go the RPE expander route. I did, with success, at the tender age of 35.
To make you a Class II, Div 1, you would have to open the bite by slightly angling out your upper incisors in addition to correcting the Curve of Spee, which means erupting your lateral teeth so that your teeth connect earlier vertically. Erupting, not extracting.
It all depends on your diagnosis.
My recommendation in your case would be to ask your Ortho why an extraction is needed, what it would achieve, why not expanding your upper arch with an expander. If your Ortho can't explain properly, I would seek a second opinion.
Careful about extracting healthy teeth. Especially extracting only 1 tooth, that causes asymmetry and a potential disaster in your mouth.
Beware. I would not extract a tooth unless it was absolutely necessary and obvious to everyone that it was needed. E.g. if you have a large overjet. But that is not the case if you are a Class II, Div 2 (deep bite).
RPE for 5 months
In: 08-Feb-07 Out: 20-Jul-07
Molar rotator for 2 months
In: 24-Jul-07 Out: 14-Sept-07
The division portion of Class II classification has to do with the inclination of your incisors. Division 1 has the centrals proclined (tilted "out" of the mouth) where as Division 2 has the centrals retroclined (tilted "in" to the mouth). Division 1 more often presents as a deep bite for what people think.Dr. Jernigan once gave a brief summary of the ways of treating a deep bite (and which tends to be more appropriate depending on the case). I wonder how the docs feel about attempting such a summary for Class II cases...
Regards,
Rory
My ortho told me that whether a person develops a div 1 or div 2 tends to depend on the length of the upper central teeth relative to the lower lip. If the lower lip "catches" the upper centrals it holds them back, and you get a div 2. If the top centrals are not caught up by the lower lip then they can continue to protrude and a div 1 results. He didn't mention about deep bites though. I'll try and remember to ask him next time.
It would be interesting though to hear from one of our resident docs about the different aetiologies of class II malocclusions, and what type of treatment (extractions, expansions, surgery etc) is indicated in what case, and what criteria an ortho uses to decide on how to treat.
It would be interesting though to hear from one of our resident docs about the different aetiologies of class II malocclusions, and what type of treatment (extractions, expansions, surgery etc) is indicated in what case, and what criteria an ortho uses to decide on how to treat.