Prognathism

Protrusion of the mandible (prognathism): Ask the patient to put their lower teeth in front of their upper teeth. There are three classes of prognathism:

Class A

Able to protrude the lower incisors anterior to the

upper incisors

Class B

Lower incisors can just reach the upper incisors

Class C

Lower incisors cannot even protrude to the upper

incisors

Table 1 Classes of Prognathism

Classes B and C are associated with increased risk of difficult laryngoscopy.

Fig 1 Prognathism Class A and Class B (left to right)