TREATMENT OF SKELETAL CLASS II DIVISION II MALOCCLUSION WITH ACTIVATOR AND FIXED ORTHODONTIC APPLIANCES: A CASE REPORT

Abstract

The aim of this case report presents a male patient with skeletal Class II, dental Class II division II associated with deep bite treated by using functional appliance and fixed orthodontic treatment. A 15-year, 6-month old boy presented to our clinic with the complaint of retrognathic mandible. In clinical and radiographic evaluation, skeletal class II and dental class II division II anomaly and increased overbite found. Treatment was started with activator functional appliance. After 10 months, the relationship between mandibular advancement and class I molar and canine were achieved. 0.018 slot roth straightwire brackets were applied to the upper and lower teeth. Connecticut intrusion arc used for maxillary incisive teeth. Reverse curve arch wires applied to mandible. Class II elastics were used. Finally, in the case of dental class II division II, increased overbite was treated in 26 months with a good occlusion, normal overbite-overjet and achieved dental class I relationships.