# Treatment of Vertical Maxillary Excess and Skeletal Class II Malocclusion: A Case Report

## TL;DR

This case report describes the successful orthodontic treatment of a young girl with a skeletal Class II malocclusion and vertical maxillary excess using non-surgical methods.

## Contribution

The paper presents a specific clinical case demonstrating the effectiveness of a modified Herren activator and high-pull headgear in treating vertical maxillary excess and skeletal Class II malocclusion.

## Key findings

- The treatment successfully corrected the patient's overjet and overbite without surgery.
- The use of a modified Herren activator and high-pull headgear helped redirect growth and improve facial aesthetics.
- Proper diagnosis and treatment planning were critical to achieving favorable outcomes.

## Abstract

Class II malocclusion is a recurrent problem that may occur at a young age. If treated initially, the malocclusion can be corrected by redirecting the growth without invasive modalities and avoiding orthognathic surgeries. A female patient aged 10 years three months came to the department of orthodontics having a complaint of upper front teeth placed forwardly, diagnosed with skeletal class II due to retrusive mandible and vertical maxillary excess with hyper divergent growth pattern with increased anterior facial height, with Angle’s molar class II division 1 malocclusion, increased overjet of 13 mm and overbite of 7 mm, acute nasolabial angle, deep mentolabial sulcus, and hyperactive mentalis. It was treated using an activator with medium-high-pull headgear (modified Herren activator) passing through the maxillary center of resistance. A fixed mechanotherapy with high-pull headgear was given using the anterior inclined plane acrylic plate in the maxilla and McLaughlin, Bennett, and Trevisi (MBT). Begg’s wrap was used for the retention plan. This case report shows the significance of proper treatment results obtained due to correct identification and planning in treating malocclusion. This case report shows the significance of proper treatment results obtained due to correct identification and planning in treating malocclusion.