Alexa initially presented with the chief concerns of overbite and overjet with protrusion and proclination of the upper front teeth. She had a full-cusp class II malocclusion and excessive overjet of more than 10 mm. She was treated with class II growth modification with a functional appliance (twin block), along with
fixed braces in approximately 30 months and finished with excellent occlusion and excellent aesthetic results, with significant reduction in her protrusion and full correction of her class II malocclusion.