Before and After Class II No surgery

Orthodontic treatment of a teenage girl with no surgery. Significant profile improvement. Cephalometric landmarks and measurements outlined.
Growth assessment and treatment sequence of Class II div 1.

[@TinaFerreira83]

Thank you for your explanation !!!

[@bavvireal]

ok! this is lit 🔥

[@showt1me133]

But surgery is still required if you want the best results

[@laibanoor3575]

i am 17 having overbites my doctor told me that my four teeths will be extracted two from the upper jaw and two from the lower jaw. i'm really worried about that can u please tell me that why they are planning to extract four instead of two??hope u will respond✨

[@SvetlanaKoval]

Any extractions will cause decrease in the overall volume of the tongue space. The four are planned for extractions to facilitate tooth movements and prevent bone loss in severe crowding cases.

[@avadheshbhatt1137]

Is this skeletal issue or dental?

[@SvetlanaKoval]

This is vertical growth type in a growing patient

[@shreyapatil9827]

I am 20 with prognathic mandible, 10 mm overjet anb 8 degree, my doctor suggested me camouflage or surgery. Camouflage won't provide a jawline; but surgery is highly risky and expensive. Can my case be corrected non invasively???

[@SvetlanaKoval]

Hello, Shreya, both options are viable. Everything depends on your desired outcome.

[@shreyapatil9827]

@@SvetlanaKoval can forsus spring work for mandibular advancement at 20. My case is only for aesthetic

[@SvetlanaKoval]

@@shreyapatil9827 There is a possibility.

[@luke14946]

@Shreya Patil, if you watch Orthodontist, Dr Bill Hang's vids about the "Bolton Norm" and another one titled "Angle Killing"
He mentioned that
Class 3 or "underbites" are usually NOT from having a Prognathic Jaw, (Very Rarely they are)
But usually....
(1) from having lower jaw of a good length, but upper jaw being too far back (in relation to Bolton Norm)
Or....
(2) the upper jaw being too far back, and even the lower jaw itself being somewhat too far back too.
He also mentioned the "mistake" of Orthognathic Surgery bringing the lower jaw backwards to "Correct" an Underbite, which may cause or exacerbate sleep apnea issues.

[@abdallahamin6848]

Patient’ age ?

[@SvetlanaKoval]

15

[@abdallahamin6848]

Easy Orthodontics if patient 23 year have same case can get same result ?

[@SvetlanaKoval]

Abdallah Amin It depends on the joint stability and relationship to the fossa. Unstable joints might not tolerate anterior displacement and cause damage to the attachment. Preliminary joint evaluation is necessary. Although, there are studies showing successful condyle-fossa remodeling.

[@davidyisraeli2139]

He chin is still of she shuld take the maxila fowarrd the mandiblua will come with it

[@SvetlanaKoval]

Surgery is always an option

[@davidyisraeli2139]

I think its 2022 there more to ways take the face foward with no surgery. But surgery is ok only if you take 2 jaws foward i saw surgery when only one jaw was foward it doesnt look good