Class II Distal Bite: Diagnosis, Planning and Clinical Treatment Protocol
Class II Distal Bite: Diagnosis, Planning and Clinical Treatment Protocol
Course overview
Treatment of a distal bite requires a comprehensive analysis of the clinical situation, precise functional diagnostics, and a well-founded choice of treatment strategy. To achieve a stable result it is important to consider not only tooth positions and occlusal relationships, but also the data from the photo protocol, radiographic examinations, model analysis, and centric relation registration.
This course with Elena Kim is devoted to a step-by-step review of a clinical case of distal bite treatment — from initial examination and diagnosis to implementation of the treatment plan, evaluation of the result, and retention.
You will work through the logic of an orthodontist’s clinical reasoning, learn to systematize diagnostic data, form a problem list, compare possible treatment options, and justify the chosen strategy.
Key topics of the course:
Functional diagnostics: analysis of the photo protocol, video protocol, OPTG, lateral cephalogram (LCR), CBCT and models
Determination of centric relation (CR) and mounting of models in an articulator
Clinical situation analysis, identification of diagnostic signs and formation of a problem list
Selection of treatment strategy and justification of clinical decisions
Planning treatment stages and selection of appliances: brackets, wires and auxiliary elements
Implementation of the treatment plan and control of key clinical parameters
Possible errors and complications: risk assessment and prevention methods
Evaluation of the final result, retention and ensuring long-term stability.
As a result of the training you will obtain a structured approach to managing patients with a distal bite and will be able to apply the main principles of clinical planning in your orthodontic practice.
Course lessons
Lesson 1. Distal Bite: From Functional Diagnostics to a Stable Treatment Result
Functional diagnostics:
Analysis of the photo protocol (extraoral and intraoral photographs) and video protocol
Review of radiographic data (OPTG, lateral cephalogram, CBCT)
Model analysis
Determination of centric relation (CR), mounting of models in an articulator.
Analysis and diagnosis:
Key diagnostic signs
Formation of a problem list.
Treatment strategy selection:
Possible treatment options
Justification of the selected strategy.
Treatment plan:
Treatment stages
Selection of appliances (brackets, wires, auxiliary elements).
Treatment implementation:
Key stages
Patient management specifics
Points of attention.
Errors and complications:
Possible risks
How to avoid them.
Treatment result and retention:
Final result
Maintaining the result and long-term stability.
