True incisor intrusion – deep bites

Example appliance: Incisor intrusion arch with segmental fixed appliances

Example appliance: TAD-supported direct incisor intrusion with segmental fixed appliances

Level of evidence: Moderate
Suitable for ages: 7+ years old
Indications: Anterior deep bite, increased incisor display, normal to proclined incisors, space present for intrusion/retraction
Contraindications: Reduced incisor display, resorption of incisor roots, lack of space for inrusion, any acquired orthodontic risks

Treatment Objectives and Biomechanics

  • True incisor intrusion
  • Reduce the overbite
  • Level the curve of Spee (mandible)
  • Reduce gingival display

Appliances / Treatment modalities

  • Fixed appliances
  • Clear aligners
  • Skeletal anchorage – TAD, bone plates
  • Headgear – J-hook
  • Surgical intrusion

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