Orthosurgical management of an adult patient with severe Class-II malocclusion: A case report

Class II malocclusion cases are of interest to orthodontist since they constitute a significant percentage of cases they treat. However, they are one of the most challenging malocclusions to diagnose and treat.There lies a significant difference in prevalence of Class II malocclusion among various populations. Prevalence of Class II malocclusion in India varies from 1.9% in Rajasthan to 8.37% in South India.Class II malocclusions have dental or skeletal or combination entities. Success in the management of skeletal Class II cases especially in the adult cases relies on proper diagnosis and treatment planning. The treatment of severe dentofacial deformities in adult patients is a challenging task for both the orthodontist and the maxillofacial surgeon. In adults with severe discrepancy, combined orthosurgical approach is the ideal way to achieve acceptable results. This case report presents an adult male patient with severe Class II malocclusion in which mandibular advancement was carried out with BSSO. Post-treatment results showed improved facial esthetics and Class- I relationship of the skeletal jaw bases with optimal dental occlusion.