Noncompliant way of maxillary molar distalization

Abstract

An 11-year-old female patient presented with a chief complaint of labially blocked out maxillary canines and irregular teeth in the upper arch. Clinical examination and evaluation revealed an Angle's Class II malocclusion on an underlying Class II skeletal base with a crowded maxillary arch, blocked out maxillary canines, mild crowding in the mandibular arch, convex profile, and obtuse nasolabial angle. Her skeletal maturity status was Stage III of the cervical vertebrae maturity index (CVMI). A nonextraction treatment plan was considered for this case, which involves bilateral permanent first molar distalization of the maxillary arch using Jones jig distalizer followed by fixed orthodontic mechanotherapy using 022 MBT prescription. The posttreatment outcome shows an appreciable improvement in facial esthetics and occlusion. Further postorthodontic phase has retained a stable occlusion and pleasing facial profile.