Example appliance: Fixed appliances with reverse curve arch wires
Level of evidence: High
Suitable for ages: 12+ years old
Indications: Anterior deep bite, normal to retroclined incisors, normal incisor display, normal to increased alveolar width, curve of Spee present, normal to hypodivergent skeletal patterns
Contraindications: Hyperdivergent skeletal patterns, proclined incisors, severe over-eruption of incisors, narrow alveolar width, any acquired orthodontic risks
Treatment Objectives and Biomechanics
- Extrude molars and premolars
- Procline incisors (relative intrusion)
- Level the curve of Spee (mandible)
- Open the overbite
Appliances / Treatment modalities
- Fixed appliances
- Clear aligners
- Functional appliances – Clark Twin Block etc.
