Class II Malocclusion has been called the most frequent treatment problem in the orthodontic literature. Among the various jaw based discrepancies that exist, a Class II Skeletal pattern is probably the most prevalent one. The best timing for treatment of Class II malocclusion has been controversial. The question is whether early treatment, which is initiated during the mixed dentition, is more effective and efficient than treatment started in the permanent dentition. Patients can experience “burn out” with this potential prolonged treatment time. Lastly treatment could begin in the permanent dentition, which could shorten the treatment time and lessen the costs to the patient. Orthodontics today has a variety of treatment protocols and tools that may be used. Many of these include: fixed appliances, functional appliances, extra- oral headgear, Inter maxillary elastics, distalizing appliances, selective extraction patterns, and surgical correction. In this article various factors are outlined which shows a distinctive differentiation and relation between the early and late treatment timing in Class II malocclusions.
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