Clinical and lateral cephalometric evaluation of class II elastic therapy in skeletal class II malocclusion cases indicated for fixed functional appliance: An in vivo study.

Management of skeletal Class II malocclusion remains a persistent orthodontic challenge, particularly in selecting an effective alternative to fixed functional appliances. Therefore, it is of interest to evaluate the clinical and cephalometric effects of Class II elastics in 10 patients with skeletal Class II malocclusion. Pre- and post-treatment cephalometric parameters, including SNA, SNB, ANB and overjet, were compared using paired t-test analysis. Data shows significant improvement in cephalometric angles and overjet reduction, with dentoalveolar changes being more pronounced than skeletal changes. Thus, we show Class II elastics as a clinically effective alternative in borderline skeletal Class II cases, with outcomes comparable to fixed functional therapy in selected patients.