Most non-extraction Class II malocclusions are treated by extraoral and intraoral appliances for molar distalization. Extraoral traction is effective but depends on patient cooperation. This led to the use of intraoral appliances; however, they too have drawbacks such as molar tipping and loss of anchorage. In this case report, a 13-year-old patient with Class II malocclusion with good facial balance is treated non-extraction. The two quadrants were divided into pendulum only and pendulum K-loop combination to compare the amount of molar tipping and dentoalveolar changes on both sides. The left upper quadrant has Hilgers pendulum appliance (pendulum only). On the right side, pendulum was adjuncted buccally by Karla's K-loop appliance using split-mouth technique. It was concluded that Class I molar and canine relation was achieved faster on pendulum only side, though it presented with more distal molar tipping as compared to pendulum K-loop combination side which showed a controlled molar distalization.
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