Treatment of a Class II, Division 1 Malocclusion and Ectopic Canines with Invisalign Mandibular Advancement and the Bootstrap Technique

In a growing patient, a Class II, division 1 malocclusion is often treated by inducing supplementary mandibular growth with functional appliances. As Toth and colleagues reported, the correction is achieved through a combination of normal growth and mandibular skeletal and dento alveolar changes. 1 The proportion of skeletal to dental effects is determined by the timing of treatment,2, 3 the mode of mandibular advancement,4, 5 and the type and rigidity of the appliance.3, 6-8 © 2025 JCO, Inc.