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Am J Orthod Dentofacial Orthop. 2012 Oct;142(4):473-80. doi: 10.1016/j.ajodo.2012.04.020.

Deep overbite malocclusion: analysis of the underlying components.

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Department of Orthodontics and Dentofacial Orthopedics, Faculty of Oral and Dental Medicine, Cairo University, Egypt.



A deepbite malocclusion should not be approached as a disease entity; instead, it should be viewed as a clinical manifestation of underlying discrepancies. The aim of this study was to investigate the various skeletal and dental components of deep bite malocclusion, the significance of the contribution of each, and whether there are certain correlations between them.


Dental and skeletal measurements were made on lateral cephalometric radiographs and study models of 124 patients with deepbite. These measurements were statistically analyzed.


An exaggerated curve of Spee was the greatest shared dental component (78%), significantly higher than any other component (P = 0.0335). A decreased gonial angle was the greatest shared skeletal component (37.1%), highly significant compared with the other components (P = 0.0019). A strong positive correlation was found between the ramus/Frankfort horizontal angle and the gonial angle; weaker correlations were found between various components.


An exaggerated curve of Spee and a decreased gonial angle were the greatest contributing components. This analysis of deepbite components could help clinicians design individualized mechanotherapies based on the underlying cause, rather than being biased toward predetermined mechanics when treating patients with a deepbite malocclusion.

[Indexed for MEDLINE]

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