Case report of a 18 year old male patient reported with class II division 1 malocclusion with reduced overbite, increased overjet, proclined upper anteriors, discordant midline, convex facial profile, posterior divergence on skeletal class II  base with normodivergent growth pattern and CVMI stage IV. This case is treated with MBT prescription for the duration of 2 year, class II correction is achieved with the help of intra oral elastic only. The result showed correction of overjet and overbite, with class I molar and canine relation and marked improvement of facial esthetics

Keywords: Orthodontics, class II correction, intra oral elastics

1. Alarashi, L. Franchi, A. Marinelli, and E. Defraia. Morphometric analysis of the transverse dentoskeletal features of class II malocclusion in the mixed dentition, Angle Orthod 2003;73;21–25.
2. A. McNamara Jr., Components of class II malocclusion in children 8–10 years of age. Angle Orthod 1981; 51;3;177–202.
3. Jones G et al, Class II Non-Extraction Patients Treated with the Forsus Fatigue Resistant Device Versus Intermaxillary Elastics. Angle Orthodontist, Vol 78, No 2, 2008
4. Bratu DC, Fleser C, Glavan F. The effect of intermaxillary elastics in orthodontic therapy, TMJ 2004, Vol. 54, No.4
5. Nelson B, Hansen K, Hagg U. Class II correction in patients treated with class II elastics and with fixed functional appliances: a comparative study. Am J Orthod Dentofacial Orthop. 2000;118: 142–149.
6. Jansen et al, Correction of Class II malocclusion with Class II elastics: A systematic review, Am J Orthod Dentofacial Orthop. 2000;143:3
7. Nelson B, Hagg U, Hansen K, Bendeus M. A long-term follow-up study of Class II malocclusion correction after treatment with Class II elastics or fixed functional appliances. Am J Orthod Dentofacial Orthop 2007;132:499-503
8. Combrink FJ, Harris AM, Steyn CL, Hudson AP. Dentoskeletal and soft-tissue changes in growing Class II malocclusion patients during nonextraction orthodontic treatment. SADJ 2006;61:344-50.
9. Uzel .A, Uzel. I, Toroglu MS, Two Different Applications of Class II Elastics with Nonextraction Segmental Techniques. Angle Orthod, Vol 77, No 4, 2007
10. Tovstein BC. Behavior of the occlusal plane and related structures in the treatment of Class II maloclusion. Angle Orthod 1955;25: 189-98.

Dr Muhammed Shareef Parakkal

Department of Orthodontics and Dentofacial Orthopaedics, Dr Ziauddin Ahmad Dental College/ Aligarh Muslim University, India