Removal of habits and/or soft tissue interference for Class II

Level of evidence: High
Suitable for ages: 6+ years old (or when first permanent incisors erupt)
Indications: External stimuli causing a dental Class II incisor relationship; patient awareness and motivation of the incorrect habit
Contraindications: Patient not interested in correcting habit

Treatment Objectives and Biomechanics

  • Removal of habits (thumb or digit sucking, lip biting etc.)
  • Removal of lower lip trap

Appliances

  • Habit correction: Hayrake, Blue Grass appliance, Habit crib, finger attachment devices
  • Lower lip trap correction: partial fixed banding, lip bumper, removable appliances