Case report SB: long-term follow-up on Class II treatment with first molar extractions

Widespread acceptance of water fluoridation has greatly reduced the need for molar extractions. When treating Class II malocclusions that require the removal of teeth in the maxillary arch only, consideration should be given to the first molars as well as the more commonly extracted first premolars. This report describes such a case. The patient's active treatment ended in 1979, shortly before he left for college. After one retention visit, he was not seen again until he turned up in the early 1990s' literally on our doorstep, to practice general dentistry across the hall!