12 years old patient presented moderate crowding, increased overbite and an impacted lower second molar.
The treatment involved the use of fixed appliances and the only extraction required was the removal of the lower left wisdom tooth to align the impacted second molar.
Patient attended at age 13. Crowding in the upper and lower jaw and anterior crossbite. There was a tendency to an open bite due to an abnormal swallowing pattern.
Fixed aapliances allowed us to correct the malocclusion in conjunction with muscular reinforcement by a Speech Therapist