A Quantified Approach to Diagnosis and Treatment By Leonard J. Carapezza, DMD TABLE 1 EARLY MIXED DENTITION CLASS II MORPHOLOGICAL VARIATIONS Ideal Treatment Goal: Normal Orthognathic Occlusion Dental Class I and Skeletal Class I Class II Problem I. Maxillary Skeletal Protrusion II. Maxillary Alveolar Protrusion III. Maxillary Alveolar Protrusion and Mandibular Alveolar Retrusion IV. Mandibular Alveolar Retrusion V. Mandibular Skeletal Retrusion *Locked occlusion – Locked mandible Fig. 1: “E” Arch expansion Spontaneous correction of Class II. 24 Spring 2014 JAOS