Simultaneous retraction and intrusion using a single palatal micro-implant

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This case report describes the treatment of a case with skeletal Class II, gummy smile, anterior deep bite and convex facial profile. While treating such a severe case, the outcome may not always be successful with orthodontic therapy alone. For this reason, surgical therapy is often chosen to gain an esthetic facial profile and a good smile. However, sometimes the patients reject surgical treatment and an alternative method must be considered. Skeletal anchorage systems such as miniscrews are now frequently used for correcting severe malocclusion that should be treated by orthodontics and surgical therapy. In this case report, we treated a skeletal Class II malocclusion with convex profile and gummy smile using miniscrews, which were placed in the mid-palatal region for simultaneous intrusion and retraction of upper anteriors.