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By Dr. Milton Pedrazzi
A Class II growing patient with a mandibular deficiency is presented. Treatment began on 8/07/85. First, determine the mandibular growth direction of the patient. Growth pattern was Clockwise/Neutral. The question then becomes whether to use a Bionator or a Twin Block appliance to advance the mandible. The growth direction determines whether to make a neutral appliance, a bite opening appliance or a bite closing appliance. This case called for a neutral type Bionator.
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