Class II Growth
- Class II Molar & Canine Relationship Bilaterally
- O.J= 6mm , O.B = 5mm
- Deep overbite
- Increased curve of Spee
- Bilateral maxillary posterior crossbite
- Maxillary constriction, narrow palate
- Sever upper anterior crowding, mild lower anterior crowding
- 2mm shift of lower midline to the left side
Treatment Plan
- ENT consultation
- A maxillary bilateral expansion, RME, using hyrax expander.
- Fixed orthodontic therapy associated with class II mechanics
- Reduction of the deep bite by levelling curve of Spee using lower incisor proclination rather than extraction because they are severely retroclined