Traditional technique for correcting Class II in a growing patient is by growth modulation. In adults Class II discrep-ancy are treated either by orthodontic or comaflauge or by surgical correction. Class II discrepancies with mandibular deficiency are treated surgically by mandibular advancement surgery. Mandibular advancement by BSSO is found to be a stable procedure. An 18 year old patient reported to the department with complains of forwardly placed upper front teeth. On examination patient had a retrognathic mandible with Class II relation. Intra orally patient had a Class II molar and incisor relation with increased overjet and overbite. The treatment plan of combination of orthodontics and surgery was employed to correct the discrepancy and obtain an aesthetic, harmonious facial profile. The mandibu-lar advancement surgery was done which accomplished the objectives of the treatment.
McNamara, J.A. Components of Class II malocclusion in children 8-10 years of age. Angle Orthod 1981; 51: 177-202.
Thomas PM. Orthodontic camouflage versus orthog-nathic surgery in the treatment of mandibular defi-ciency. J Oral Maxillofac Surg 1995 May; 53(5):579-87.
Poulton DR, Ware HW. Surgical orthodontic treat-ment of severe mandibular retrusion. Part I. Am J Orthod 1971; 59:244-65.
Poulton DR, Ware HW. Surgical orthodontic treat-ment of severe mandibular retrusion. Part II. Am J Orthod 1973; 63:237-55.
Proffit WR, Phillips C, Dann C. Who seeks surgical-orthodontic treatment? Int J Adult Orthodon Orthog-nath Surg 1990;5:153-60.
McNeill RW, West RA. Severe mandibular retrog-nathism: orthodontic versus surgical orthodontic treatment. Am J Orthod 1977; 72:176-82.
Proffit WR, White RP Jr. Mandibular deficiency in patients with normal or short face height. In: Proffit WR, White RP Jr, eds. Surgical-orthodontic treat-ment. St. Louis: CV Mosby, 1990:334- 77.
Mihalik CA, Proffit WR, Phillips C. Long term fol-low up of Class II adults treated with orthodontic camoflauge: A comparison with orthognathic surgery outcomes. Am J Orthod 2003; 123:266-78.
Bailey LJ, et al. Stability and predictability of or-thognathic surgery. Am J Orthod 2004; 126:273.
Welch TB. Stability in the correction of dentofacial deformities: a comprehensive review. J Oral Maxil-lofac Surg 1989; 47:1142-49.
