title: Management of severe Class II malocclusion with fixed functional appliance: Forsus.
abstract: BACKGROUND
  Management of class II malocclusion in adolescent patients by growth modulation is one of the most debated topics in orthodontics. Noncompliance has been a major concern for orthodontists.
  
  
  METHODS
  This case report describes the management of severe class II malocclusion in adolescent patient using functional appliance system-Forsus to correct class II problems, which is clipped on to bands. This appliance has several advantages, as the patient cannot remove it. It acts on the teeth and jaws for 24 hours each day, patient cooperation is not a problem, and as a result the treatment time is short. There is lot of controversy about the use of functional appliances.
  
  
  CONCLUSIONS
  This case report illustrates that even today, functional appliances have a significant role in the management of class II malocclusion by using growth modulation. The growth modulation minimizes the necessity of extraction of permanent teeth and probably orthognathic surgery.
  
  
  CONCLUSIONS
  Functional appliances have a significant role in the management of class II malocclusion. The growth modulation minimizes the necessity of extraction of permanent teeth and probably orthognathic surgery.
authors.affiliation: Department of Orthodontics, DAPM RV Dental College Bengaluru, Karnataka, India. drvijaya_ps@yahoo.com
authors.forename: P S
authors.initials: PS
authors.lastname: Vijayalakshmi
authors.forename: A S
authors.initials: AS
authors.lastname: Veereshi
mesh_terms: D000293:Adolescent; D002508:Cephalometry; D002648:Child; D005260:Female; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D008445:Maxillofacial Development; D017289:Orthodontic Appliances, Functional; D009972:Orthodontics, Interceptive / Q000295:instrumentation*; D010349:Patient Compliance