Clinical case of 13 years old patient : Class II division 2

• Before treatment :





• After teeth alignment, elastics were not worn : proposition of Pul’fix accepted by the patient :





• PUL’Fix fitted : debonding lower bicuspids and freeing upper bicuspids and canines to let them extrude and distalize for faster correction of Class II :





• Bonding upper lingual retainer and debonding upper braces : motivating patient to continue with Pul’fix :





• Debonding lower braces and bonding lower lingual retainer. 6 months of PUL’fix :





• Anti-relapse night wearing retainer : PUL W



• Profiles and Xrays before and after treatment : mandibular growth :

Other videos and user’s manual of PUL’Fix  : www.pulconcept.com & youtube

Using PUL’Fix in this manner, act like a remoble PUL : extruding bicuspids and molars and distalizing upper molars to avoid « rabbitting » of upper incisors and excessive proclination of lower incisors.