K. Fushima et al., SIGNIFICANCE OF THE CANT OF THE POSTERIOR OCCLUSAL PLANE IN CLASS-II DIVISION-1 MALOCCLUSIONS, European journal of orthodontics, 18(1), 1996, pp. 27-40
In studying a group of fifty adult females with Class II division 1 ma
locclusion, it was evident that the skeletal problems of this malocclu
sion involved small, retruded mandibles accompanied by backward rotati
on. This skeletal pattern was considered to be influenced by the verti
cal dimension of the upper dentition in the buccal segment for mandibu
lar function. The anterior and the posterior occlusal planes were exam
ined to gain a detailed assessment of the relationship between the den
tal and the skeletal patterns. The findings indicated that the steep c
ant of the posterior occlusal plane was strongly correlated with the f
ollowing: 1. Small, retruded mandible with backward rotation as the sk
eletal pattern. 2. Short vertical height of the upper second molars an
d distal inclination of the upper molars as the dental pattern. The in
creased vertical height of the lower second premolars was found to be
related to backward rotation of the mandible. In treating skeletal Cla
ss II division 1 malocclusions, this study indicated that control of t
he vertical dimension of the posterior teeth is extremely important.