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Class II Division II malocclusion is characterized by the lingual inclination of the upper anterior teeth so that there is not enough clearance to place brackets for the lower incisors (Fig.1). Composite has to be placed on the occlusal surface of the molars (Fig.3). The patient must have difficulty in mastication for a few days. Is there a better method to avoid the inconvenience?
Yes, we could have placed brackets and bands for the maxilla first. When the upper incisors protrude with the help of wires, there will be space to bracket the lower incisors (1 2 3).
Xin Wei, DDS, PhD, MS 1st edition 10/09/2016, last revision 10/09/2016