{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:24:03Z","timestamp":1791347043584,"version":"4.3.1"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2019,9,21]],"date-time":"2019-09-21T00:00:00Z","timestamp":1569024000000},"content-version":"vor","delay-in-days":263,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Patients with severe overbite in middle age often undergo prosthetic treatment without a diagnosis of dentofacial deformity, but soft tissue trauma can occur in such patients due to the lack of inter-occlusal space. Comprehensive surgical orthodontic treatment and prosthetic treatment are indicated to correct the overbite and soft tissue injury for such patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>We report the cases of two middle-aged patients with dentofacial deformity and severe overbite without molar support. In both cases, prosthetic treatment had been performed for many years without any improvement of the occlusion. Case 1: A 47-year-old Japanese man had a maxillary incisor protrusion and reduced lower anterior facial height profile with the left mandibular molars lost due to periodontal disease. After preoperative orthodontic treatment and occlusal elevation in the molar teeth using an implant prosthesis, a sagittal split ramus osteotomy (SSRO) was performed. Case 2: A 57-year-old Japanese woman had mandibular retrognathia with maxilla and mandibular-arch length discrepancy. The left mandibular molars needed to be extracted due to periodontal disease. After preoperative orthodontic treatment and reconstruction of the molar occlusion using an implant prosthesis, three-segment Le Fort I osteotomy and SSRO were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Malocclusion with dentofacial deformity is a risk factor for severe deep overbite or other occlusion collapse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In middle-aged patients with deep overbite with missing molar teeth, we should consider both prosthodontic treatment and comprehensive dental therapy, including orthognathic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2019.09.027","type":"journal-article","created":{"date-parts":[[2019,9,24]],"date-time":"2019-09-24T11:30:06Z","timestamp":1569324606000},"page":"135-142","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Two middle-aged cases of deep overbite without molar support treated by orthognathic surgery"],"prefix":"10.1097","volume":"63","author":[{"given":"Kazuki","family":"Akizuki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiko","family":"Fujita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhito","family":"Tsuchida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyoshi","family":"Shimo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-32-20260114","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1038\/sj.bdj.2014.953","article-title":"The restorative management of the deep overbite","volume":"217","author":"Beddis","year":"2014","journal-title":"Br. Dent. J"},{"key":"R2-32-20260114","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.ijsu.2018.10.031","article-title":"The PROCESS 2018 statement: updating consensus Preferred Reporting Of CasE Series in Surgery (PROCESS) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R3-32-20260114","first-page":"687","article-title":"Fine-tuning our treatment of deep bites","volume":"42","author":"Keim","year":"2008","journal-title":"J. Clin. Orthod"},{"key":"R4-32-20260114","doi-asserted-by":"crossref","first-page":"81","DOI":"10.15761\/DOCR.1000120","article-title":"Deep bite: a treatment planning decision support scheme","volume":"1","author":"El-Dawlatly","year":"2015","journal-title":"Dent. Oral Craniofac. Res"},{"key":"R5-32-20260114","doi-asserted-by":"crossref","first-page":"126","DOI":"10.5152\/TurkJOrthod.2017.17033","article-title":"Camouflage treatment of a severe deep-bite and orthognathic surgery required case with en masse retraction","volume":"30","author":"B\u00fcy\u00fckbayraktar","year":"2017","journal-title":"Turk. J. Orthod"},{"key":"R6-32-20260114","doi-asserted-by":"crossref","first-page":"1","DOI":"10.21767\/2469-2980.100029","article-title":"Deep bite its etiology, diagnosis and management: a review","volume":"2","author":"Daokar","year":"2016","journal-title":"J. Orthod. Endod"},{"key":"R7-32-20260114","first-page":"132","article-title":"Angle Class II, Division 2, malocclusion with deep overbite","volume":"15","author":"Renato","year":"2010","journal-title":"Dent. Press J. Orthod"},{"key":"R8-32-20260114","doi-asserted-by":"crossref","first-page":"191","DOI":"10.4103\/2321-1407.142926","article-title":"Management of skeletal class II, deep bite","volume":"4","author":"Shilya","year":"2014","journal-title":"APOS Trends Orthod"},{"key":"R9-32-20260114","doi-asserted-by":"crossref","first-page":"83","DOI":"10.12968\/denu.2004.31.2.83","article-title":"The combined orthodontic and surgical treatment of traumatic Class II division 2 in the adult","volume":"31","author":"McDonagh","year":"2004","journal-title":"Dent. Update"},{"key":"R10-32-20260114","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.ijscr.2016.12.014","article-title":"Orthognathic surgery during breast cancer treatment\u2013a case report","volume":"31","author":"Shimo","year":"2017","journal-title":"Int. J. Surg. Case Rep"},{"key":"R11-32-20260114","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1038\/sj.bdj.4807203","article-title":"The deep overbite: prevention of trauma","volume":"168","author":"Wragg","year":"1990","journal-title":"Br. Dent. J"},{"key":"R12-32-20260114","doi-asserted-by":"crossref","first-page":"136","DOI":"10.12968\/denu.2002.29.3.136","article-title":"Traumatic overbite: a restorative solution","volume":"29","author":"Cotter","year":"2002","journal-title":"Dent. Update"},{"key":"R13-32-20260114","doi-asserted-by":"crossref","first-page":"34","DOI":"10.5927\/jjjd.28.34","article-title":"A case of mandibular prognathism without molar support treated by comprehensive dental therapy","volume":"28","author":"Yoshitake","year":"2018","journal-title":"Jpn. J. Jaw Deform"},{"key":"R14-32-20260114","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5125\/jkaoms.2017.43.1.3","article-title":"Complications associated with orthognathic surgery","volume":"43","author":"Kim","year":"2017","journal-title":"J. Korean Assoc. Oral Maxillofac. 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