Skeletal class ii correction using twin block & rick-a-nator appliance: a case series

Early screening and diagnosis help in preventing and intercepting the severity of the malocclusion which helps in addressing the esthetic and functional concerns. Growth modulation such as mandibular advancement has been an effective procedure in orthodontics The treatment of skeletal Class II growing patient is to move the mandible into the Class I molar positon via facilitating mandibular growth. The functional appliances are to be designed to exert three major functions such as palatal expansion, forward growth of mandible and increase of the posterior vertical dimension. The twin block appliance along with rickanator increased the likelihood of patient cooperation and corrected the underlying skeletal malocclusion and reduced the treatment duration of fixed orthodontic appliance. The present paper presents two case reports of Class II malocclusion describing the clinical effectiveness of combination of Twin block & Rick-a-nator appliance with fixed mechanotherapy.