A wilson - 27 year old

you may well get away with just the LLE ... and some IPR but leaving a class 3 molar on the left so the upper 8 may well need to come out in years to come

need to make sure UL4 is intruded to allow the LL3 distal....

and may be some class 2 elastics to help the LL6 forward.... as it will probably collapse the lower arch and move lower C Line if you just went for power chain in the lower to close the space

and then say if she didn't like the result then the other 5's... so a therapeutic diagnosis so to speak

https://www.dropbox.com/sh/7ilrgrqk0c7ep59/AADXtcj9Mc8qusvQ2BknYpsLa?dl=0

Pt does not like how her upper anteriors cross slightly and that she still has a baby tooth

The patient is a mild class 1 skeletal pattern, with an average FMPA and average FH. The lips are competent with a 90 degree nasiolabial angle.

The incisors are a class 1 with an OJ of about 2mm and a decreased OB - . The mid lines are ok - they seem to be aligned - retained LLE - cross bite on the LL where the LL3 is

There is mild crowding on the upper and lower labial regions and then all teeth seem aligned in the upper and lower buccal regions

Molars on the LHS and the RHS are class 1. The canines on the LHS are class 1 and RHS is half a unit class 2.

I was thinking could I get away with just taking the LLE ? will allow the LL3 to derotate and align without too much midline shift? other option is LLE and the remaining 5's? pt not so keen on this - then upper and lower fixed?