Correction of Skeletal Sagittal Dysplasia using Twin Block Traction Technique

The primary concern of the patient as well as their parent seeking orthodontic treatment is the sagittal relationship of the dentition and jaws. Twin block is the most common functional appliance used successfully in correction of growing patient with skeletal class II malocclusion. However, the method of using extraoral traction in combination with twin block appliance (twin block traction technique) is to reinforce the functional component for correction of a class II sagittal relationship. A 12-year-old male patient reported to the Department of Orthodontics with a chief complaint of forwardly placed upper front teeth. With the help of clinical examination, cephalometrics, and diagnostic records, the diagnosis of the patient was confirmed as skeletal class II maxillomandibular relationship with prognathic maxilla and retrognathic mandible with a vertical growth pattern. The patient was treated with twin block appliance along with headgear. The appliance design and postfunctional results are demonstrated in the following case report. Although twin block with high-pull headgear is known to produce favorable results in mixed dentition, the same was observed in permanent dentition during growth phase. Combination of twin block appliance with high pull headgear gave the desired results.