A cephalometric appraisal of edgewise Class II nonextraction treatment with extraoral force

The purpose of this study was to determine the treatment effects of nonextraction edgewise therapy combined with cervical headgear on Class II, Division 1 malocclusions. Data from a sample of 43 treated patients with a mean age of 11 years 11 months and a mean treatment time of 2 years 8 months were recorded. A cephalometric appraisal was done and the initial and final measurements of points, lines, and angles based on accepted cephalometric analyses were compared. Student's t test for paired cases was used to evaluate the significance of all measurement changes. The significant findings were as follows: the inhibition of forward growth of the maxilla, downward tipping of the anterior part of the palate, reduction of flaring of the maxillary incisors, reduction of the facial convexity, and extrusion and mesial movement of maxillary and mandibular first molars. The overall results tend to indicate the efficacy of this treatment modality in the treatment of the Class II, Division 1 malocclusion.