Treatment of a Class II Division I malocclusion using miniscrews: A case report

This case report describes the use of temporary anchorage devices for an 18-year-old Indian girl with a skeletal Class II malocclusion. Class II skeletal base indicating a vertical growth pattern with prognathic maxilla and orthognathic mandible in relation to the anterior cranial base, bilateral Angle's Class II molar and canine relationship with proclined and forwardly placed upper and lower incisors with an overjet of 7 mm and an overbite of 2 mm, and a convex soft tissue profile with an acute nasolabial angle and potentially competent lips. The treatment includes the extractions of the maxillary first premolars and mandibular second premolars, fixed appliance mechanotherapy, miniscrew-aided maxillary anterior retraction, and protraction of mandibular molars. The Angle's Class II Division I malocclusion, proclined upper and lower anteriors, overjet of 7 mm, and convex soft tissue profile with potentially competent lips were corrected. The crowding and rotation along with proclined incisors were corrected significantly improving patient's facial profile. The trending use of implants in orthodontics for everyday troublesome and complicated protocols is comparatively much efficient and quicker with the aids of mini-implants.