Orthodontic-surgical correction of a Class II, Division 2 malocclusion.

The incorporation of the total subapical osteotomy as an alternative surgical technique to augment standard bilateral sagittal split osteotomy in facilitating establishment of the profile objectives in the surgical-orthodontic treatment of a patient with skeletal sagittal discrepancy, is presented in this case report. Esthetic considerations, as well as risks involved in this type of a combined surgical approach, are also discussed.