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Management of Severe Class II Malocclusion With Sequential Fixed Functional and Orthodontic Appliances: A Case for
Larry Cf Li1, A Bakr M Rabie, Ricky Wk Wong
1Private practice in Singapore Q & M Dental Centre, City Square Mall, Singapore.
Abstract:
Fixed functional appliance is an effective way of treating skeletal Class II malocclusion in children and adolescents. The following case report documented a 13-year-old boy with 15 mm overjet treated by a phase I 12-month growth modification therapy using Herbst appliance with Hyrax palatal expander and high pull headgear in a stepwise mandibular advancement protocol followed by a phase II pre-adjusted edgewise appliance therapy. It is one of the cases submitted for the Membership of Orthodontics Examination of the Royal College of Surgeons of Edinburgh.

