Deepbite correction with incisor intrusion in adults: A long-term cephalometric study

KALE VARLIK S. , Alpakan O. O. , TÜRKÖZ Ç.

AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, vol.144, no.3, pp.414-419, 2013 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 144 Issue: 3
  • Publication Date: 2013
  • Doi Number: 10.1016/j.ajodo.2013.04.014
  • Page Numbers: pp.414-419


Introduction: The purpose of this study was to investigate the long-term stability of deep overbite correction with mandibular incisor intrusion with utility arches in adult patients. Methods: Pretreatment, posttreatment, and 5-years postretention lateral cephalograms of 31 patients (mean age, 26.8 years; range, 24.1-30.9 years) with Class II Division 1 malocclusion and deepbite, treated by maxillary first premolar extraction and mandibular incisor intrusion, were traced and measured. Results: Significant decreases in overjet and overbite (6.4 +/- 1.2 and 3.9 +/- 0.7 mm, respectively), significant retroclination (17 degrees +/- 1.9 degrees) and retraction (3.8 +/- 1.1 mm) of the maxillary incisors, and significant increases in protrusion (0.8 +/- 1.5 mm), proclination (0.6 degrees +/- 0.9 degrees), and intrusion (2.6 +/- 1.4 mm) of the mandibular incisors were observed at posttreatment. At postretention, there were statistically significant but clinically unimportant increases in overjet and overbite (0.4 +/- 0.2 and 0.8 +/- 0.4 mm, respectively) and extrusion of the mandibular incisors (0.8 +/- 1.1 mm). Conclusions: Correction of deepbite in nongrowing patients by mandibular incisor intrusion with a utility arch can be considered effective and stable.