Abstract :
Increased awareness and concern regarding the appearance and facial esthetics has changed the trend towards treatment of overall facial profile rather than just considering the type of malocclusion. To extract or not to extract has been an important question for orthodontists in treatmentplanning. In patients with moderate to severe Angle's Class II division 2 malocclusions, thechief complaint is typically an increased vertical overlap of the incisors with crowding in upper and lower arches. Angle's Class II division 2 malocclusion patients are usually associated with mandibular retrognathism. This skeletal discrepancy can be either corrected by growth modification in growing patients or can be camouflaged by extractions in the upper arch. This case report presents two cases of Angle's Class II division 2 malocclusion, one treatedby extractions in upperarch and theotherby growth modification.
Keyword :
Angle's Class II division 2, Twin Block, Pre-functional alignment.