Malocclusion, with a superimposed vertical growth tendency, is often diffic
ult to treat without a combined surgical orthodontic approach. Certain situ
ations, however, may preclude surgery as a treatment option. The following
case report demonstrates the use of orthodontic mechanotherapy alone in suc
cessfully treating a patient that exhibited a Class II Division I malocclus
ion with a high mandibular plane angle and vertical growth tendency.