Volume : 6
Issue : 4
Year : 2020
Page No : 264-270
Background: Class II malocclusion is one of the most common problems around the globe affecting around
one-third of the patients who come for orthodontic treatment Management of class II malocclusion in
adolescent patients by growth modulation is one of the most debated topics in orthodontics. Noncompliance
has been a major concern for orthodontists.
Case Report: This case report describes the management of class II malocclusion in an 18 year old female
patient using “Forsus” fixed functional appliance system to correct her class II malocclusion. The patient
was well beyond her growing years, hence the fixed functional appliance bought more of dento-alveolar
changes rather than much of skeletal changes. This appliance has several advantages, as it is an operator
handled device and the patient cannot remove it. It acts on the teeth and jaws for 24 hours a day, patient
compliance is not a problem, and hence treatment duration is shorter.
Conclusion: The profile changes and treatment results were demonstrated. This case report illustrates that,
fixed functional appliances have a significant role in the management of class II malocclusion by not only
promoting growth modulation, but also encouraging dento-alveolar changes once growth has completed.
Both growth modulation and dento-alveolar correction minimizes the necessity of extraction of permanent
teeth and probably orthognathic surgery. With proper case selection and good patient cooperation, we can
obtain a significant result with the Forsus Fixed appliance.
Clinical significance: Fixed functional appliances have a significant role in the management of class
II malocclusion. It eliminates the massive compliance needed in removable fixed appliance therapy.
Nonetheless, the growth modulation minimizes the necessity of extraction of permanent teeth and probably
Keywords: Forsus, Fixed functional appliance, Class II Malocclusion, Growth Modulation, Non-compliance therapy.