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Article: Volume 42 Number 7 Page 632 - September 2015

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  Dent Update 2015; 42: 632-642

Orthodontics:  Class II Division 1: An Evidence-Based Review of Management and Treatment Timing in the Growing Patient

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Abstract: Class II division 1 malocclusion is common and various methods have been suggested for successful treatment in the growing patient. A number of recent high-quality studies have been undertaken to assess the efficacy of these treatments. We aim to outline the existing best evidence that supports current practice, with a review of the effect of treatment timing on outcome. This will provide a sound evidence-base for General Dental Practitioners for assessing, advising and referring young patients for treatment.

Clinical relevance: General Dental Practitioners should understand the management options and optimal time for treating growing patients with a Class II division 1 malocclusion.

Author notes: Sophy K Barber, BDS, MJDF, MSc, MOrth RCS(Ed), Post-CST Registrar in Orthodontics, Leeds Dental Institute, Katherine E Forde, BChD, MJDF, MSc, MOrth RCS(Eng), Specialist Orthodontist, Holywell House Orthodontics, Hinckley, Leicester and Richard J Spencer, BDS, FDS RCS, MSc, MOrth RCS, FDS(Orth) RCS, Consultant Orthodontist, Pinderfields Hospital, Wakefield, UK.

Objective: To outline and evaluate the current methods for orthodontic management of Class II division 1 malocclusion in growing patients and provide guidance regarding timing of referral for general dentists.