Nonsurgical treatment of an adult with a skeletal Class II Division 1 malocclusion and a severe overjet

This case report describes the treatment of an adult patient who had a Class II Division 1 malocclusion with a severe overjet (13.5 mm), a deep overbite (7 mm, 100%), and spacing between the maxillary anterior teeth. The purpose of this report is to demonstrate the importance of developing an individualized treatment plan, tailored to the patient’s specific dental and skeletal problems, as well as to his or her needs and desires. Although all indications pointed to a surgical intervention for this patient, her reluctance to undergo orthognathic surgery led to an alternative treatment, which yielded a satisfactory result.