Severe Overjet- Extraction recommended by all- Treated Non-Extraction

My goal was to reduce her 9 mm overjet and correct the full cusp Class II bite while opening her skeletal deep bite. Her hypodivergent facial pattern was an important reason I chose treatment without additional extractions. In this patient, I was concerned that extracting upper premolars could make it more challenging to maintain closure of the extraction spaces over time. I also wanted to use mechanics that supported bite opening. Sequential molar distalization combined with planned posterior extrusion fit those objectives. Her third molars had already been removed, and I planned to move the upper teeth backward within the available supporting bone. Using Invisalign, I distalized the second molars first, followed by the first molars, premolars, and anterior teeth. This created room to retract the upper incisors and reduce the overjet. At the same time, I planned posterior extrusion and lower anterior intrusion to open the deep bite and increase lower facial height. Because the excessive overjet prevented effective contact with bite turbos behind the upper incisors, I initially placed them behind the upper canines. Class II elastics supported the correction, while controlling the already proclined lower incisors remained a priority. Their measured inclination stayed unchanged as the overjet decreased from 9 mm to 2 mm. This approach addressed both the excessive overjet and the deep bite without additional extractions. Fixed retainers and nighttime Vivera retainers with bite ramps were used to help maintain alignment and bite opening.