Case Report: High pull headgear orthopedic effects on vertical maxillary excess and mandibular autorotation; report of three cases

A notable proportion of class II population suffer from excessive vertical maxillary growth which leads to subsequent backward rotation of mandible. Excessive tooth show at rest and on smile are the associated presentation of this group.we report treatment results of this subdivision of class II patients, treated by high pull headgears attached to maxillary acrylic splints with posterior bite-blocks.in all cases, maxillary vertical & sagittal growth had been controlled and simultaneous vertical mandibular growth contributed to improvement of facial profile, incisor show, lip and mentalis muscle function.considering every aspect of an individual’s growth pattern is an inevitable step in treatment planning in orthopedic patients, as it may play a direct role in the treatment plan and mechanotherapy. Comprehensive diagnosis and a customized treatment plan is the key to clinical success.