Tackling Hyperdivergent Cases with Minimal Overbite
Amanda Wilson DDS MDS
Oral Health Expert, Orthodontist, CEO StraightSmile Solutions?, Mentor, Coach, Author, Speaker
Tackling Hyperdivergent Cases with Minimal Overbite
Sometimes, you might find that your patient displays a hyperdivergent profile, and knowing how to tackle these cases is often important. Fortunately, today’s guide outlines the main things you should know about developing a suitable hyperdivergent treatment plan; this should help make finishing cases in hyperdivergent patients a little easier.
What is a Hyperdivergent Profile?
Generally speaking, hyperdivergent profiles are characterized by long and backward growth, which usually arises due to airway issues (such as a blocked, small, or underdeveloped airway) or diets and habits. However, it’s worth noting that this can also have a small genetic link, too.
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If you have a young patient presenting with a hyperdivergent profile, intervening ASAP is vital. Always run an OMT screening, an STB screening, and try to fix the airway issues prior to starting orthodontics work on a young patient with this presentation.
Unfortunately, if an adult patient has a hyperdivergent profile with minimal overbite, you’ll either need to refer the patient for jaw surgery or simply deal with the presentation as it is (assuming a treatment plan in this case is even possible, which it may not always be).
Take Care to Check the Smile Lines
Before starting ortho work to correct the vertical on a hyperdivergent case, make sure you have checked the smile lines closely to reduce the risk of complications arising. The ClinChecks and setups, and sometimes even in braces cases, can result in the incisors being pulled down, making them look much more gummy when finishing cases.
As such, in these cases, it will usually be more effective to do relative intrusion of molars with posterior bite turbos or rests rather than absolute extrusion of the incisors. However, if you’re not sure, don’t hesitate to get in touch with a professional orthodontics advisory team, such as our experts here at Straight Smile Solutions, for specific and tailored guidance on how best to tackle each individual case.