A Dadd - adult - 28 years old

I d may be try just UL4 ext

the lowers don't look too bad - some IPR

The upper right - fine to keep class 1

Upper centrals need IPR as triangular...

Upper C Line needs to go to left

taking UL4 will help and go for class 2 on the left

so asymmetrical molars but that's fine

Ian

https://www.dropbox.com/sh/ldhmdk2q3f26bpk/AACrjTQpvuh2XTbevgZLaqKMa?dl=0

Pt does not like how her upper anteriors cross slightly especially the upper 2's

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 an average OB - . The mid lines are slightly off on the lower to the LHS by around 2mm -

There is moderate crowding on the upper and lower labial regions and then all teeth seem aligned in the upper and lower buccal regions - the upper 2's are rotated by 90 degrees

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

I was thinking that I need to extract upper 4's and then lower 5's then upper and lower fixed with some class 2 elastics to help move the canines ??