Treatment of severe mandibular retrusion in class II, division 2 malocclusion.

The case of an adult patient with a severe mandibular retrusion of the Class II, Division 2 malocclusion type has been presented. The patient's marked anteroposterior discrepancy was complicated by the severe malocclusion. The solution to this case involved presurgical orthodontic treatment to allow for surgical mandibular advancement by a modified sagittal osteotomy and postsurgical orthodontic care for alignment of the dentition. A discussion of the importance of the patient's facial growth type for stable mandibular advancement has also been presented.