Management of Class II Malocclusion in an Adolescent Patient with “The Poosh Appliance”: An In office Fabricated Fixed Functional Appliance

Abstract

Class II malocclusions with mandibular retrognathism are best managed with functional orthopedic appliances. Patients reporting before peak pubertal growth are treated with removable functional appliances. Young adults or Class II patients in late adolescence have been treated most effectively using fixed functional appliances (FFAs) in combination with fixed orthodontic appliance. In such patients, some skeletal changes but largely dentoalveolar changes account for the treatment results. Most of the readily available FFAs have high cost or require laboratory fabrication. Both mandibular protraction appliance (MPA) and churro jumper appliance are in-office-fabricated FFAs. The Poosh appliance is a newly designed in-office-fabricated FFA. It is a modification of the popular churro jumper appliance. This article presents the design, fabrication, and use of Poosh appliance in a 15-year-old male patient to manage Class II malocclusion successfully.