A 13-year-old patient reported to the dental clinic with the chief complaint of proclined upper anterior teeth and unaesthetic appearance of the smile.
Diagnosis
Clinical examination and intra-oral photographs revealed:
- Angle’s Class II Division 1 malocclusion
- Proclination of maxillary anterior teeth
- Increased overjet
- Class II canine and molar relationship
- Mild to moderate anterior crowding
- No significant skeletal asymmetry evident clinically
Based on the patient’s age and growth potential, an orthodontic camouflage approach using fixed appliances was planned.
Treatment Objectives
- To correct the Class II malocclusion
- To reduce overjet and correct anterior proclination
- To achieve Class I canine relationship
- To improve dental alignment, occlusion, and facial esthetics
- To establish a stable and functional occlusion
Treatment Plan
- Comprehensive orthodontic treatment using fixed appliance therapy (metal braces)
- Alignment and leveling followed by space closure and anteroposterior correction
- Total treatment duration planned for approximately 2 years
Treatment Progress
Treatment was carried out using pre-adjusted edgewise metal brackets.
Sequential archwires were used for alignment and leveling, followed by retraction of maxillary anterior teeth to correct proclination and overjet. Continuous monitoring ensured controlled tooth movement and maintenance of periodontal health throughout treatment.
Treatment Results
Post-treatment evaluation showed:
- Successful correction of Class II Division 1 malocclusion
- Significant reduction in overjet
- Well-aligned upper and lower arches
- Improved incisor inclination
- Achieved functional and esthetic occlusion
- Noticeable improvement in smile aesthetics and facial harmony
BEFORE
AFTER
Conclusion
The correction of Angle’s Class II Division 1 malocclusion in this 13-year-old patient using fixed appliance therapy resulted in satisfactory functional and esthetic outcomes. Early intervention during the growth phase contributed to effective correction and long-term stability.