PMC9214453_01
Initial photograph shows (a-c) the frontal and frontal smiling with the jaw deviation to the right and lateral shows straight facial profile; (d and e) the constricted upper and lower arches with bimaxillary crowding; and (f) class I molar and canine in the right side; (g) lower midline deviated to the right side by 3 mm; (h) class III molar and canine in the left side
JOS-11-30-g001.jpg
PMC9214453_01_JOS-11-30-g001.jpg
F1
His chief complaint was, "I do not like my smile." Clinical examination revealed V-shaped upper and lower arches with bimaxillary crowding (5 mm maxilla and 9 mm mandible), lower midline shifted to the right by 2 mm, crossbite in relation to upper right lateral incisor and lower right canine, lower chin deviation to the right, and reciprocal right TMJ clicking during opening and closing [Figure 1].