Orthodontic Treatment of Skeletal Class II, Palatal Deep Bite, TMD and Gummy Smile by Edgewise Technique

Abstract

Abstract
Introduction: Certain aspects of malocclusion, particularly deep bite, can be related to healthy of temporomandibular joints (TMJ). In orthodontics, deep bite has always been considered as a difficult anomaly to correct, but also as the one most hindering to solving the problems resulting from other associated malposition. The main objectives was to explain management of a patient with skeletal Class II with palatal deep bite, TMD and gummy smile by multiloop edgewise technique. Case Report: The patient was a 28-years-old male who had a skeletal Class II patterns. He had a concave facial profile with retrusion and retroclinated maxillary central incisor, palatal deep bite, gummy smile, and TMD in right side. Canine relation was class II on his right side, and class I on his left side. Molar relationship was class I on his right and left sides. He has complaints of the right jaw joint clicking and pain during functional activity. The treatment was carried out with a multiloop edgewise technique for around ten months, starting with levelling and aligning the maxillary and mandibular arch. Followed by flaring and intrusion of the maxillary and mandibular incisors. Conclusion: Orthodontic treatment using the Multiloop edgewise technique resulted in normal overjet and overbite, reduced TMD complaints, and corrected gummy smile.