anteriors. With Class III elastics, you might be able to help this patient. I assume surgery is out of the question. ■ 9/5/2017 HJS The patient and her mom don't accept surgical option. ■ 9/5/2017 Member Since: 01/07/06 Post: 3 of 12 Sláinte Do you have access to any pretreatment records? ■ 9/5/2017 Member Since: 07/30/09 Post: 4 of 12 HJS Unfortunately, no. ■ 9/6/2017 Advance the upper incisors to resolve the anterior crossbite and then rebond upper and lower arches ... may need an extraction on the lower left. ■ Member Since: 01/07/06 Post: 5 of 12 Fenrisúlfr Member Since: 02/25/09 Post: 6 of 12 9/6/2017 HJS Which is better to extract? LL4 or LL6? ■ 9/6/2017 Member Since: 01/07/06 Post: 7 of 12 Fenrisúlfr No extractions until the arches are fully leveled and aligned and you have a solid CR. ■ 9/6/2017 There is curve of Spee in the lower. If I don't extract, anterior crossbite will be exaggerated! ■ 9/6/2017 Not if you advance the really detorqued upper incisors first and level the upper arch before bonding the lower. There is likely an anterior slide due to what seems like upper incisors rabbited back on round wire. ■ Member Since: 02/25/09 Post: 8 of 12 HJS Member Since: 01/07/06 Post: 9 of 12 Fenrisúlfr Member Since: 02/25/09 Post: 10 of 12 9/6/2017 HJS Good idea. Thank you. ■ 9/6/2017 Member Since: 01/07/06 Post: 11 of 12 Fenrisúlfr Good luck. Should work out well, given the circumstances. ■ 9/6/2017 Member Since: 02/25/09 Post: 12 of 12 Share advice-or ask questions-at Orthotown.com Search: "What Can I Do" Have more advice for this Townie? Would you have done anything differently? To share your advice and more, head to orthotown.com and search "what can I do"-this message board will be the top result. orthotown.com \\ NOVEMBER 2017 25http://www.Orthotown.com http://www.orthotown.com http://www.orthotown.com