Management of Vertically Growing Class II Malocclusion with a Combination Therapy- A Case Report

The success of the class II treatment depends on the proper diagnosis and treatment planning for that the major role is played by the clinician and the facial growth pattern also plays an important role. The unfavorable growth patterns make it difficult to correct the skeletal malocclusion or to improve the facial profile. The successful use of functional appliances in treatment of skeletal Class II malocclusion is based upon age of patient, compliance of the patient and facial growth pattern. This case report aims to show how the effect of twin block on a growing patient with permanent dentition phase and hyperdivergent growth pattern helps in utilizing the remaining growth and thus minimizing the severity of skeletal malocclusion later followed by extraction of all 1st premolars and helps in achieving the pleasant profile and smile.