Combined orthodontic-orthopedic approach: a second choice in some surgical cases

The present case involves the treatment of a 21-year-old speech therapy student presenting a severe Class II/I occlusion with marked oral dysfunction handicapping her profession. In addition to a multibond appliance, the following orthopedic adjuncts were used sequentially: cervical headgear, a bimaxillary functional appliance (Biopart), a provisional occlusal plane, and composite reshaping of canine crowns. The survey of 8 years after recovery suggests that this technique is a viable alternative when patients do not opt for surgery.