A 12-year-old female presented with a class II division 1 malocclusion on a moderate skeletal class II pattern, with increased vertical dimensions complicated by an increased overjet (12mm), crowding of both dental arches and teasing in relation to her dento-facial appearance.
What is treatment plan?
1) Functional appliance like Dynamax or Twin block (more preffered as overjet reduction is more effective) = maxillary retroclination, mandibular incisor proclination, guides the eruption of posterior dentition.
2) Need of Headgear with torqueing spurs = restricts maxillary forward growth and tipping of maxillary incisors.
3) Extraction of four second premolars followed by edge to edge appliances for stability of class II correction.