Orthodontic-Surgical Management of a Skeletal Class II Patient with Reverse Smile Arc and Vertical Maxillary Excess

This is a case report of a 17-year-old female patient who presented with skeletal Class II malocclusion with excessive vertical growth of the maxilla and a reverse smile arc. Vertical maxillary excess, thin alveolar troughs, proclined upper and lower anterior teeth, excessive curve of Spee, crowding in the lower arch and excessive eruption of upper and lower incisors led to the decision of combination of orthodontic and surgical treatment. A combined orthodontic and surgical approach resulted in harmony in occlusion, function and esthetics in this patient.