Multidisciplinary management of case presenting with compromised dentition is challenging to treat because of the absence of anchor teeth with extraction spaces, extruded posterior teeth etc. A problem focussed approach is often the preferred method to assist in the treatment process. Description: Within this report, a case is examined that presents various orthodontic issues, notably a class II div1 malocclusion, deep bite, gummy smile, proclined maxillary incisors, missing 16,26,27,36,37,46,47; Extruded 17, mild crowding in mandibular anteriors, spacing in maxillary anterior teeth. A modified version of the Dr. Toshniwal’s Intrusion arch was employed in managing this case which involves second molar intrusion and InfraZygomaticCrest(IZC) Bone Screws for closure of extraction spaces and prosthetic replacement of edentulous spaces. Results: The treatment lasted for total of 24 months and the results remained consistent during the 2 year follow up. Conclusion: Accurate diagnosis and proper understanding of biomechanics are essential for successfully treating compromised dental condition