Ideal

Correct skeletal discrepancy: Growing patient --- Functional Non Growing --- Surgery

Functional
Indications: Well aligned arches Growing patient Co-operative patient

Functional
Medium Opening Activator (MOA)

Twin Block

Functional
Medium Opening Activator (MOA)

Functional

Functional

Twin Block

Surgery Surgery
Indications: Adult (16 years +) Skeletal problem

Surgery

Surgery

Surgery

Surgery

Surgery

Surgery

Surgery

Surgery

Surgery Camouflage
Non- extraction Extraction

Non Extraction - DMUBS

Indications: Mild problem Co-operative patient unit buccal segments

Non Extraction - DMUBS

Non Extraction - DMUBS

Non Extraction - DMUBS

Non Extraction - DMUBS

Non Extraction - Spaced

Removable

Extraction
Fixed
Adv. Complex Expensive Disadv. Patient co-operation Adv. Simple Cheap Disadv. Limited tooth movement

Extraction - Removable
Removable
Indications: Proclined incisors Mesially angulated canines

Extraction - Removable

Extraction - Removable

Extraction - Removable

Extraction - Removable

Extraction - Removable

Extraction - Removable

Extraction - Removable

Extraction - Removable

Extraction - Removable

Extraction - Removable

Extraction - Removable

Extraction - Removable
Fixed

Extraction - Fixed
Indications: Lower arch requires treatment Bodily tooth movement Rotations

Extraction - Fixed

Extraction - Fixed

Extraction - Fixed

Extraction - Fixed

Extraction - Fixed

Extraction - Fixed

Extraction - Fixed

Summary
Described Class II div 1 Described principles of treatment Described treatment options Examples of treatment Ideal/ Camouflage non-extraction and extraction