Severe skeletal class II is minimized before the eruption of permanent teeth. I like to start most of my Class II patients in the late mixed dentition. Most children are not affected psychologically by dental and skeletal malrelationships, but this is not true for all children. Early treatment is indicated in patients with a special concern about esthetics and self-esteem issues, or who are susceptible to injures.
Recognize the objectives of early treatment.
Evaluate the ideal time to start Class II patients.