1. Treatment of CLII malocclusion

2. CLII can be classified into
CLII div 1
CLII div 2

3. What we mean by CLII

4. Some times Molar CLI & canine CLII Molar CLII & canine CLI
Dental CLII on skeletal CLI or CLIII due to habits ?

5. T. Wallen

6. Etiology of class II
1. skeletal

7. 2. Soft tissue
Over jet & over bite

8. 3. Dental factor
In case of large teeth size so we either have

9. In association with skeletal relationship
the muscles of the
lips and tongue govern
the inclination and degree of vertical development of the incisors, and thus govern the incisal overjet and overbite.

10. Treatment objectives in CLII div1
Relief of crowding
Reduction of over bite
Reduction of over jet
Correction of CLII of buccal segment teeth

11. Treatment of class II division 1:
There are many factors that must be taken in Mind during treatment: I- Age of the patient. 2-severity of the cases. 3- Patient's cooperation.

12. If the patient is growing start with CLII correction.
But CLII should be due to antero posterior.
But if it was due to vertical problem so further growth of the mandible will lead to posterior rotation of the mandible and
in competent lips.

13. Types of treatments
Young growing

14. adult
Removable
fixed

15. Sever CLII 1
Combination of orthodontic treatment and surgery

16. Treatment by removable appliance
CLII div 1
Skeletal CLI or mild sk. CLII
Canine mesially angulated
Cooperative patient

17. always correct the overbite- before
NOTE:
always correct the overbite- before
the
overjet correction

18. Treatment by removable appliance
Stage 1
Exo. Up. 4
Adam 56
Finger spring or BCR on 3
Fitted labial arch
Acrylic base plate
Ant. Bite plane (flat or inclined)

20. Stage 2 Double Adam clasp 56 Stoppers C clasp 3 Ant bite plane
Robert retractor 2112

21. Stage 3
Retainer
Adam 6
Hawly
Acrylic base plate

22. Treatment by fixed appliance
Canine vertically or distally angulated
Upper incisors not proclined
90 degree rotation
Moderate – sever CLII
Residual space
Increased over bite

23. Surgical correction Adult Vertical maxillary excess Gummy smile
Retruded mandible

24. وجــــــهان للحق غير الله ما عبدا          وجه منير ووجـــــه يستطير هدى
هـما الجواد وموسى فاعتصم بهما          فــــــفيهما الفوز دنيا والنجاة غدا
هــــــما العماد لمن طاحت به عمد          هما الســـــــناد لظـهر يبتغي سندا

25. The crown of lower third molar is suspected to be completed in age of -------
6-9 years
18-24 years
10-14 years
12-16 years