PMC4792061_01
Pretreatment extra- and intra-oral photographs and orthopantomogram
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F1
She had convex facial profile, mesoprosopic facial form, acute nasolabial angle with potentially competent lips, and oronasal breathing pattern [Figure 1]. She had full cusp Class II molar and canine relation bilaterally with "U" shaped upper and lower arches [Figure 1].
Pre- and post-treatment cephalometric analysis and cephalogram
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F2
PMC4792061_02
Mid-treatment intraoral photographs with Class II elastics
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F3
Class II elastics were used to retract the upper incisor and mesialize the lower molars [Figure 3]. We soldered hook just distal to lateral incisor to increase the horizontal component to avoid extrusion of lower molar and increase in vertical dimension [Figure 3].
Posttreatment extra- and intra-oral photographs and orthopantomogram
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F4
Desired objectives were achieved at the end of 24 months [Figure 4].
Post follow-up extra- and intra-oral photographs
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F5
After a follow-up of 6 months, occlusion was stable [Figure 5].