Management of severe class II division II malocclusion using simplified MPA - A case report

A fully established Class II Div. II malocclusion case with severe mandibular deficiency treated with simplified mandibular protraction appliance (MPA) along with Begg′s looped archwire is presented. This type of case with antero-posterior and vertical skeletal dysplasia demands correction of the underlying skeletal malocclusions in growing patients. The task becomes very daunting especially in patients with skeletal deep bite with retroclined upper incisors. One such case treated to produce optimal skeletal and dentoalveolar relationship with the help of a fixed functional device is illustrated in this case report.