An Orthodontic-Surgical Approach to Class II Malocclusion Treatment with Vertical Growth Pattern - A Case Report

The traditional technique for the correction of Class II malocclusion in a growing patient is by growth modification with functional appliances. In adults Class II malocclusions are treated either by orthodontic camouflage or by orthognathic surgery. Class II malocclusions with vertical maxillary excess can be treated surgically by Le Fort 1 osteotomy. A female patient, age 25, came to the department with the complaint of forward positioned upper front teeth and excessive gingival display on smiling. On examination patient had a vertical maxillary excess and a retrognathic mandible with skeletal and dental Class II patterns. Intra orally patient presented with a Class II molar and canine relationships with excessive overjet. The treatment plan of a combination of orthodontics and orthognathic surgery was employed to correct the skeletal and dental discrepancies and also to obtain an aesthetic, harmonious facial profile. Surgery consisted of the Le Fort 1 osteotomy to accomplish the treatment objectives. Limitations and compromises in treatment objectives are described to achieve a pleasing result.