Treatment of Class II Div I malocclusion with two phase therapy--a case report

In our opinion, the main goal of orthodontic treatment has now shifted from attaining normal occlusion to achieving a pleasing soft tissue profile. The following case report presents a case in which normal dental and skeletal relations as well as a pleasing soft tissue profile was achieved. The female growing patient presented with convex profile and incompetent lips with deep mentolabial sulcus. On examination she exhibited a normal maxilla, deficient mandible with a horizontal growth pattern and Class II, Div I malocclusion dentally. Her growth potential was utilized fully with the twin block functional appliance followed by fixed orthodontic treatment. A favorable skeletal, dental and soft tissue relationship was achieved using this two phase therapy.