Dr Wajiha Anzar MSc Trainee Department Of Community Dentistry ANGLE’S SYSTEM OF CLASSIFICATION • Edward Angle introduced a system of classifying malocclusion in year 1899.
• Based on the relation of the lower first
permanent molar to the upper first permanent molar , he classified malocclusions into three main classes. • Angle classified malocclusion into the following broad categories. • Class I • Class II – Division 1 • Division 2 • Class III Angle’s Class I • The mesio-buccal cusp of maxillary first permanent molar occludes in buccal groove of mandibular first permanent molar.
• The patient may exhibit irregularities such as
crowding, spacing, rotations, missing teeth etc. Canine Classification CLASS I: Mesial slope of upper canine coincides with the distal slope of lower canine. Angle’s Class II • The distobuccal cusp of upper first permanent molar occludes in buccal groove of the lower first permanent molar.
• Angle has sub-classified class II malocclusions
into two divisions : • Division I • Division II Class II , Division 1 • The classII , division 1 malocclusion is characterized by procline upper incisors with a resultant increase in overjet.
• A deep incisor overbite can occur in the
anterior region. • A characteristic feature of this malocclusion is the presence of abnormal muscle activity. • The upper lip is usually hypotonic, short and fails to form a lip seal.
• The lower lip cushions the palatal aspect
of the upper teeth, a feature typical of a class II, division 1 referred to as ‘lip trap’
•Class II, Division 1 occurs when the
permanent first molars are in Class II and the permanent maxillary central incisors are either normal or slightly protruded out toward the lips. Canine Classification • CLASS II : Distal slope of upper canine coincides with the mesial slope of lower canine. Class II, Division 2 • As in Class II , Division I Malocclusion , the Division 2 also exhibits a Class II molar relationship.
• The classic feature of this malocclusion is
the presence of lingually inclined upper central incisors and labially tipped upper lateral incisors overlapping the central incisors. Class II, Sub-division • When a Class II molar relation exists on one side and a class I relation on the other side, it is referred to as Class II, sub- division .
• Based on whether it is a Division I or
Division 2 it can be called Class II, Division 2, sub-division or Class II, Division2 , sub- division. Angle’s Class III • The malocclusion exhibits a classIII molar relation with the mesio-buccal cusp of the maxillary first permanent molar occluding in the interdental space between the mandibular first and second molars.
• Class III malocclusion can be classified
into true ClassIII and pseudo Class III True ClassIII
• In this classification, the maxillary first
molar is more to the back of the mandibular first molar than normal; the buccal groove of the mandibular first molar is mesial to the mesiobuccal cusp of the maxillary first molar. • The facial profile is termed prognathic. This is a skeletal Class III malocclusion of genetic origin that can occur due to the following causes: • a- Excessively large mandible • b- Forwardly placed mandible • c- smaller than normal maxilla • d- repositioned maxilla • e- combination of the above causes
• Patients can present with a normal overjet,
an edge to edge incisor relationship or and anteriro cross bite. Class III Canine Classification • CLASS III : The distal surface of the mandibular canine is mesial to the mesial surface of maxillary canine by at least a width of 1 premolar. Pseudo Class III • This type of malocclusion is produced by a forward movement of the mandible during jaw closure,
• Thus it is also called ‘postural’ or ‘habitual’
Class III malocclusion. Class III, Sub-division • This is a condition characterized by a Class III molar relation on one side and a ClassI relation on the other side. SUMMARY Drawbacks of Angle’s Classification • 1- Angle considered malocclusion only in the anterioposterior plane. He did not consider malocclusions in the transverse and vertical planes. • 2- Angle considered the first permanent molars as fixed points in the skull. But this is not found to be so • 3- The classification cannot be applied in the first permanent molars are extracted or missing.
• 4- The classification cannot be applied to
the deciduous dentition.
• 5- The classification does not differentiate
between skeletal and dental malocclusions • 6- The classification does not highlight the etiology of malocclusion.