Treatment of Class II division 2 malocclusion with orthodontics and surgical combined syngeritic approach

Abstract

A 21-year-old male presented with irregularily placed upper front teeth, skeletal Class II relation and also Class II molar relation with 100% overbite, retroclined upper central incisors, and proclined right lateral incisor. Nonextraction treatment was planned to correct the malccusion on the diagnosis and treatment planning. Intrusion arch was used to intrude and procline the upper central incisors. Correcting the axial inclination of retroclined incisors caused unlocking of the mandible, presurgical orthodontics was carried out. Followed by surgically correcting the posteriorily positioned mandible, bilateral sagittal split osteotomy mandibular advancement and genioplasty was proformed Posttreatment incisors inclination was corrected, bilateral Class I molar relation was achieved, and canine in its position by postsurgical orthodontics. The smile arc was improved along with mentolabial sulcus and facial profile.