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In class II malocclusion, there is an anteroposterior disparity between the upper dentition and the lower dentition, which may or may not be accompanied by a skeletal discrepancy. For orthodontists, this is one of the common malocclusions encountered during clinical practice. This might be due to excess maxillary growth or retarded growth of the mandible or a combination of both. In such types of malocclusion, both the upper and lower airways are affected, the lower one most commonly. Characteristic features seen are a narrow maxillary arch, a proclined upper anterior, and mouth breathing as a developing habit. Also, the position of the condyle in the skeletal type of class II malocclusion plays a vital role in the development of temporomandibular joint disorders. Treating such disparity in a growing individual leads to better results in the long term as well as prevention of malocclusion taking a severe form. Myofunctional appliances are useful for repositioning the mandible as well as the condyle. In adults, extraction of the upper premolars is most commonly done for the correction of class II malocclusion. This provides the patient with a better esthetic appearance. In addition to this, various treatment modalities, such as splint therapy, exercise, and prolotherapy, are beneficial for pain relief and temporomandibular disorder (TMD) correction. This article deals with the characteristics, development, etiology, and comprehensive treatment options of class II malocclusion and its co-relation with the upper and lower airway along with the severity of temporomandibular joint disorders. Repositioning of the condyle in the glenoid fossae is the key to the correction of this disorder.

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Developmental anomaly of the maxillary lateral incisors most commonly leads to the occurrence of peg lateral. It is a variant of microdontia where the lateral incisors are smaller than the normal size. This appears as unilaterally or bilaterally. This condition is characterised by the converging of the mesial and distal surfaces forming a cone shape. A variety of treatment options exist for this anomaly including orthodontic treatment, restorative technique and veneer. This case report deals with an individual presenting with peg lateral of the maxillary arch along with midline diastema. The multidisciplinary treatment protocol of orthodontic treatment involving minor tooth movement and space closure in conjunction with a restorative technique for correction was preferred.