Treatment timing of Class II malocclusion has been a perennial debate with merits and demerits of early two phase and adolescent single-phase modes of therapy being discussed extensively. The treatment timing of Class II malocclusion must take into consideration individual factors such as growth, presence or absence of dental crowding, risk of trauma, involvement in contact sports, peer teasing, pubertal trends of population, and ease of access to healthcare services before deciding on the most appropriate timing of treatment for each child. This article discusses the factors while presenting a case that was started and completed by early diagnosis and treatment by the “Early Single-Phase Therapy” mode. Such an approach benefits a certain section of cases that fit the criteria and must be encouraged to be incorporated in clinical practice.
Keywords: Class II malocclusion, Twin block, Treatment timing, Early treatment mandibular growth
References
Clark WJ. In: Twin Block Functional Therapy—Applications in Dentofacial Orthopaedics 2nd Edn. Mosby St Louis, United Kingdom; 1995.
Brierley CA, DiBiase A, Sandler PJ. Early class II treatment. Aus Dent J. 2017;62(1):4-10.
O'Brien K, Wright J, Conboy F, Appelbe P, Davies L, Connolly I, Mitchell L, Littlewood S, Mandall N, Lewis D, Sandler J. Early Khadilkar et al. / The Journal of Dental Panacea 2025;7(2):105-109 109 treatment for Class II Division 1 malocclusion with the Twin-block appliance: a multi-center, randomized, controlled trial. Am J Orthod Dentofac Orthop. 2009;135(5):573–9.
Singh S, Singh M, Saini A, Misra V, Sharma V, Singh G. Timing of myofunctional appliance therapy. J Clin Pediatr Dent. 2010;35(2):233–40.
Clark W.J. The Twin Block technique.A functional orthopaedic appliance system. Am J Orthod Dentofac Orthop. 1988;93(1):1–18.
Kharbanda OM. In: Orthodontics—Diagnosis and Management of Malocclusion and Dentofacial Deformities 1st edn. Elsevier Health Sciences India. 2009:373–80.
Baccetti T, Franchi L, Toth LR, McNamara Jr JA. Treatment timing for Twin-block therapy. Am J Orthod Dentofacial Orthop. 2000;118(2):159–70.
Cohen AM. The timing of orthodontic treatment in relation to growth. Br J Orthod. 1980;7(2):69–74.
Petrovic A, Stutzmann J, Lavergne J, Shaye R. Is it possible to modulate the growth of the human mandible with a functional appliance? Inter J Orthod. 1991;29(1-2):3–8.
Eckert-Lind C, Busch AS, Petersen JH, Biro FM, Butler G, Bräuner EV, et al. Worldwide secular trends in age at pubertal onset assessed by breast development among girls: a systematic review and meta- analysis. JAMA Pediatr. 2020;174(4):e195881.
Meher T, Sahoo H. Secular trend in age at menarche among Indian women. Sci Rep. 2024;14(1):5398.
×
How to Cite This Article
Vancouver
Khadilkar A, Saple V. Early single-phase therapy for treatment of Class II malocclusion using conventional twin block appliance - A case report [Internet]. J Dent Panacea. 2025 [cited 2025 Oct 02];7(2):105-109. Available from: https://doi.org/10.18231/j.jdp.2025.023
APA
Khadilkar, A., Saple, V. (2025). Early single-phase therapy for treatment of Class II malocclusion using conventional twin block appliance - A case report. J Dent Panacea, 7(2), 105-109. https://doi.org/10.18231/j.jdp.2025.023
MLA
Khadilkar, Ankeeta, Saple, Vanashree. "Early single-phase therapy for treatment of Class II malocclusion using conventional twin block appliance - A case report." J Dent Panacea, vol. 7, no. 2, 2025, pp. 105-109. https://doi.org/10.18231/j.jdp.2025.023
Chicago
Khadilkar, A., Saple, V.. "Early single-phase therapy for treatment of Class II malocclusion using conventional twin block appliance - A case report." J Dent Panacea 7, no. 2 (2025): 105-109. https://doi.org/10.18231/j.jdp.2025.023
