We thank Dr Mew for his letter regarding our article. The purpose of our retrospective study was to investigate the esthetic changes to the profile after headgear use in growing Class II patients with protrusive, normal, or retrusive maxillae. We discovered that, for a range of FH:NA angles in Class II growing patients (retrusive, normally positioned, and protrusive maxillae), headgear treatment used with fixed orthodontic appliances is effective in improving facial profile esthetics: the greater the initial ANB angle, the greater the profile esthetic improvement with treatment (as judged by a panel of laypersons).

In our study, we looked at actual profile changes with treatment. We did not evaluate simulated profile changes as Dr Mew created, and we look forward to seeing the results of his efforts when published. Headgears can be the ideal therapy for Class II correction in many patients.