A SYNERGISTIC APPROACH TO TREAT CLASS II DIVISION 2 MALOCCLUSION IN A POST PUBERTAL PHASE USING BIO-PROGRESSIVE PHILOSOPHYAND FIXED FUNCTIONAL APPLIANCE

Class II Division 2 malocclusion is characterized by retroclined maxillary incisors, deep bite, and frequently an underlying skeletal Class II base presenting both functional and aesthetic challenges. This case report describes the orthodontic treatment of a 15-year-old female with such a malocclusion managed through a non-extraction protocol. Initial decompensation was achieved using a Ricketts utility arch to correct incisor inclination and create overjet followed by sagittal correction with the Forsus Fatigue Resistant Device.Labial root torque was employed to prevent lower incisor flaring during mandibular advancement. The 18-months treatment resulted in Class I molar and canine relationships, normalized overjet and overbite and improved facial profile.Cephalometric evaluation confirmed skeletal and dentoalveolar changes and stability was maintained using dual retention. This case highlights the efficacy of integrating bio-progressive mechanics with fixed functional appliances for managing Class II Division 2 cases in late adolescent patients with limited compliance.