Title-Orthodontic Correction of Class II Division 2 Malocclusion in an adult With Single Missing Incisor: Case Report

Abstract

This case report describes the treatment of an adult with a skeletal Class II Division 2 malocclusion with coverbite. The patient also had an extracted lower central incisor resulting in the loss of anterior incisal guidance and a collapsed lower anterior region. The correction of the skeletal class II discrepancy was achieved by correction of the inclination of the maxillary incisors, opening of the bite and forward posturing of the mandible. The space in the lower anterior region was regained for replacement of the extracted incisor using a conventional Maryland bridge thereby establishing an anterior incisal guidance. Improvement in the smile and facial esthetics were achieved.