The bite opening effects of orthodontic appliances often cause a downward and backward mandibular rotation that only exacerbates the malocclusion. Successful orthodontic treatment of a high angle, Class II, Division 1 malocclusion requires careful consideration of the vertical dimension during treatment planning. This case report shows an individualized treatment approach to a patient with high angle Class II malocclusion.

Keywords: Class II Malocclusion, High Angle Growth Pattern, Camouflage Treatment