Treatment of Class II division 1 malocclusion in a non growing patient A case report with review of literature

In our orthodontic practice we have seen a recent spurt of increasing numbers of young adults who desire cost effective, non surgical correction of Class II malocclusion and accept dental camouflage as a treatment option to mask the skeletal discrepancy. When planning the treatment in such cases the orthodontist often faces the dilemma whether to extract 2 maxillary premolars or 2 maxillary and 2 mandibular premolars. This case report presents one such case (along with review of literature) of a 21 year old non-growing female, having skeletal Class II division 1 malocclusion with an overjet of 14mm, who did not want surgical approach to treatment and even though the underlying sagittal jaw discrepancy was severe, the selective extraction of two permanent maxillary first premolar teeth was considered acceptable. Following treatment marked improvement in patient’s smile, facial profile and lip competence were achieved and there was a remarkable increase in the patient’s confidence and quality of life.