Reflections on solving the puzzle of Class II malocclusion

Arguably, teeth that stick out represent a significant concern to the orthodontist; and there is much ado about its etiology and gadgets of treatment. In the midst of ever-so-present commercialism, lecture–circuit preaching, and science bashing, the inevitable query would have to be—is the Class II malocclusion treated better today than 50 or 60 years ago? Simply put, does knowledge of etiology or the plethora of gadgets affect timing, treatment planning, mechanics, and outcome of treatment? This discourse will argue in the absence of knowledge to affect growth in the craniofacial region, best clinician׳s best judgment is the best that can be done.