Decompensation orthodontics and mandibular advancement surgery for Class II

Level of evidence: Moderate
Suitable for ages: 14+ years old
Indications: Mandible retrognathic Class II skeletal base, normal maxilla, Class II dental malocclusion
Contraindications: External stimuli causing a dental Class II incisor relationship

Treatment Objectives and Biomechanics

  • Orthodontic decompensation: Moving the dentition to the correct position on the alveolar base.
  • Mandibular advancement: To correct facial profile, skeletal pattern and dental malocclusion

Appliances

  • Fixed appliances
  • Clear aligners