Class II, Division 2

Malocclusions
-Occurs in about 10% of children

-In milder forms they may be acceptable functionally, and

the facial appearance can be pleasing.

-In severe cases the over bite is very deep, associated with
periodontal trauma palatal to upper, and labial to the lower
incisors.

-Class II, Div. 2 incisor relationship is generally the result

of dento-alveolar compensation for a class II skeletal
pattern by retroclination of the upper central incisors.
Occlusal Features:
-Class II incisor relationship with retroclination of the
upper central incisors.
-The upper lateral incisors may also be retroclined, but
typically they are proclined, mesially inclined and mesio-
labially rotated
-The overbite is deep and over jet is average.
-The anterioposterior buccal segment relationship is usually
mild class II.
-Transversely, there may be buccal crossbite.
Skeletal Relationships:
-The skeletal pattern may be Class I, but is generally mild
Class II, and the chin is well developed so that the facial
profile is good.

-The lower anterior face height is often smaller than

average and characteristically the maxillary-mandibular
planes angle is low, with a well-developed mandibular
angle.
Facial Growth:

- In many class II, Div.2 patients, facial growth is

favourable, and there is an anterior mandibular rotation, as
might be expected from the diminished anterior face height
and the form of the chin.
Soft Tissues:
-The lips are almost always of adequate length to meet without
strain.

-Frequently the lip line is high relative to the upper incisor

crown, and the higher the lip line the more retroclined the
upper incisors are liable to be. There is often a well-developed
labiomental fold.
Treatment Objectives: