One Phase or Two Phase Treatment Modality in Children With Class II Div 1 Malocclusion: A Dilemma in Orthodontics.

The majority of the patients with Class II division 1 malocclusions have the presence of underlying skeletal discrepancy between maxilla and mandible. 2 basic strategies for the treatment of Class II division 1 malocclusion in children are common: 1) Treatment in 2 phases, one started early in pre-adolescent and second during adolescent years, 2) treatment in single phase of active treatment during the adolescent years. Both the strategies have their own advantages and disadvantages. Early treatment for Class II malocclusion is frequently undertaken with the objective of correcting skeletal disproportion by altering the growth pattern. Growth modification is the interceptive mode of intervening in the developing Class II skeletal condition. Growth modification procedures are normally carried out during mixed or early permanent dentition before the cessation of active growth. The goals of growth modification is to alter the unacceptable skeletal relationship by modifying the patient's remaining facial growth to favorably change the size, orientation and position of the jaws. The overall treatment of skeletal Class II depends upon the age of the patients, growth potential, severity of malocclusion, whether dental or skeletal and associated malocclusion. [ABSTRACT FROM AUTHOR]