Orthodontics · single question

An increased mandibular (gonial) angle is most commonly associated with which facial/growth pattern?

  1. A vertical growth pattern with a tendency toward anterior open bite
  2. A horizontal growth pattern with deep bite
  3. A perfectly normal bite in all cases
  4. Mandibular retrusion only
Show answer and explanation

Correct answer: A. A vertical growth pattern with a tendency toward anterior open bite

A high mandibular-plane/gonial angle reflects a vertical (dolichofacial) pattern with backward-downward mandibular rotation, long lower-face height, and an anterior open-bite tendency. A low angle reflects a horizontal (brachyfacial) pattern with deep bite.Other options: Deep bite and horizontal growth go with a LOW angle; an increased angle is not always normal and is not defined by retrusion alone.Key exam takeaway: High gonial angle = vertical grower, long face, open-bite tendency; low angle = horizontal grower, deep bite.

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