G Reben - new patient

yup...

this time the lower 5's look big....hey ho

Ian

https://www.dropbox.com/sh/ys4ag4kmctnjock/AAAOBJuqI-OUZsSf2Uld3UUHa?dl=0

Pt does not like how her upper canines are stuck up

The patient is a mild class 2 skeletal pattern, with a high FMPA and increased FH. The lips are competent with an obtuse nasiolabial angle.

The incisors are a class 1 with an OJ of about 2-3mm and an average OB - . The mid lines are slightly off on the upper to the LHS by around 1mm

There is severe crowding on the upper labial segment and mild crowding on the lower labial segment and then all teeth seem aligned in the upper and lower buccal regions - the upper canines are displaced buccally by 7mm

Molars on the LHS and RHS are class 1. The canines on the LHS and RHS if in position would be in class 1 also - the patient has retained the upper C's which are currently maintaining the spaces for the 3's

I am thinking I could get away with non extratcion here - after some proclination and removal of the C's the upper 3's could fit??? may need a small amount of IPR anteriorly????? then upper and lower fixed??