Settling the Score with Class IIs Using Miniscrews

Abstract

Class IIs have been one of the most prevalent malocclusions treated in orthodontic practice. Throughout the history of the specialty, all manner of methods and devices have been employed to resolve these bad bites. Yet, after decades, there is still no consensus on the best technique or approach. In fact, we seemingly cannot even agree on the etiology nor the correct jaw to address with our mechanics. It does appear that we might fi nd common ground regarding the most common issues with any of our treatment approaches, namely, that we are constrained by two major limitations: the requirements of patient compliance and anchorage control. It is this inter- minable battle for compliance and anchorage that has led us to employ skeletal anchorage for the management of Class IIs.