Orthodontic Management of Dentofacial Discrepancies in Skeletal Class II Patients

The skeletal Class II occurs when there is a marked discrepancy in the position and relationship between the maxilla and the jaw, resulting in patients with labial incompetence, convex profile and an Angle Class II malocclusion, to the consultation there is a female patient of 12 years of age presenting these characteristics, in addition to a marked proclination of incisors, and clicking when opening the mouth. The objective of this case report was to improve the profile of the patient, get Class I molar and canine, correct the incompetence labial, and improve dental occlusion. The treatment plan included dental extraction of the upper and lower first premolars, accompanied by retraction of canines and upper anteroposterior segment. Thanks to the application of the ROTH technique through the use of elastic chains and retraction arches, the initial objective was achieved, improving the esthetics and function of the facial structures.