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This case report discusses the successful treatment with myofunctional appliance of a growing patient with skeletal Class II malocclusion followed by fixed mechanotherapy involving atypical teeth extraction.<\/jats:p>","DOI":"10.4103\/jos.jos_151_21","type":"journal-article","created":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T01:30:18Z","timestamp":1699234218000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Orthodontic management of a growing skeletal class II case with functional appliance and atypical extractions: A case report"],"prefix":"10.4103","volume":"12","author":[{"given":"Monis","family":"Raza","sequence":"first","affiliation":[{"name":"Department of Orthodontics, I.T.S Dental College, Muradnagar, Ghaziabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Payal","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, I.T.S Dental College, Muradnagar, Ghaziabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubhangi","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, I.T.S Dental College, Muradnagar, Ghaziabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piush","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, I.T.S Dental College, Muradnagar, Ghaziabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,11]]},"reference":[{"key":"R1-20240830","first-page":"291","article-title":"The asymmetric extraction decision","volume":"62","author":"Tayer","year":"1992","journal-title":"Angle Orthod"},{"key":"R2-20240830","doi-asserted-by":"crossref","first-page":"86","DOI":"10.4103\/njms.NJMS_11_18","article-title":"The aberrant extraction of a maxillary canine and two lower incisors","volume":"9","author":"Kumar","year":"2018","journal-title":"Natl J Maxillofac Surg"},{"key":"R3-20240830","first-page":"210301","article-title":"Canine extractions: Functional, esthetic, and practical considerations","volume":"55","author":"Saad\u00e9 Ces","year":"2021","journal-title":"J Clin Orthod"},{"key":"R4-20240830","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/0022-3913(90)90048-H","article-title":"Anterior guidance: Group function\/canine guidance: A literature review","volume":"64","author":"Thornton","year":"1990","journal-title":"J Prosthet Dent"},{"key":"R5-20240830","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1590\/2177-6709.23.1.097-107.bbo","article-title":"Tooth transposition: A multidisciplinary approach","volume":"23","author":"Matsumoto","year":"2018","journal-title":"Dental Press J Orthod"},{"key":"R6-20240830","first-page":"312","article-title":"Atypical extractions in adult treatment","volume":"49","author":"Shastri","year":"2015","journal-title":"J Clin Orthod"},{"key":"R7-20240830","first-page":"353","article-title":"Practical and esthetic considerations in adult canine-extraction treatment","volume":"47","author":"Farret","year":"2013","journal-title":"J Clin Orthod"},{"key":"R8-20240830","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/S0889-5406(03)00306-8","article-title":"Dynamic smile visualization and quantification: Part 1. 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