Management of a non growing adult borderline extraction case of a patient having a Class II Division 1 malocclusion by non extraction protocol for aesthetic improvement: A case report on adult orthodontics

Abstract

Class II malocclusion is one of the most common problems around the globe affecting around one-third of the patients who come for orthodontic treatment .This case report evaluates the management of skeletal Class II division 1 malocclusion in a boderline non-growing adult patient without extraction of upper first premolars. Clinical and cephalometric evaluation revealed skeletal Class II division 1 malocclusion with severe maxillary incisor proclination, convex profile, average mandibular plane angle, incompetent lips, increased overjet and overbite. Following fixed orthodontic treatment marked improvement in patient's smile, facial profile and lip competence were achieved and there was a remarkable increase in the patient's confidence and quality of life The profile changes and treatment results were demonstrated with proper case selection and good patient cooperation with Fixed appliance therapy.