“…In middle-aged patients with severe deep overbite, treatment planning consisting of mere cephalometric evaluation and clinical observations is not always sufficient, and external factors such as environment, family, friends, and business life must be considered when planning treatment. As the number of patients with systemic illness in middle age has increased in recent years, patient tolerance of treatment should also be considered when planning treatment, along with the expected longevity and the maintenance burden of various options [10]. In such cases a long-term treatment plan with a great deal of patient involvement is often required.…”