Planning restorative treatment for patients with severe Class II malocclusions

This article describes a clinical protocol for the occlusal rehabilitation of patients with severe Angle skeletal Class II malocclusions. Within this protocol, an occlusal device is used for 2 purposes: first, to locate the most suitable maxillary-mandibular relationship for function and range of motion at an established vertical dimension of occlusion; and second, to accurately transfer this relationship to an articulator for fabrication of provisional and definitive restorations. The theory behind this protocol and its associated clinical procedures is presented along with a discussion of the protocol's advantages and disadvantages.