Case report: Compensation of a Class II malocclusion using a single-phase combination of distalizer and aligner

The combination of skeletally anchored distalization and aligners offers a modern approach to treating Class II malocclusions in adults. A single-phase approach with simultaneous molar distalization and aligner staging enables precise, controlled, and efficient therapy. The presented case of a 35-year-old patient demonstrates the successful application of a custom-made distalizer. By integrating mini-implants and aligner technology, the sagittal overjet, anterior crowding, and midline deviation were corrected without tooth extractions. Skeletal anchorage enhanced treatment stability and reduced dependency on patient compliance. Keywords: Class II malocclusion, distalization, skeletal anchorage, aligners, mini-implants, benesliders, distalizers, orthodontic treatment in adults