Abstract

Date of birth: 21/11/1994; gender: female. 02/11/2004 (age of patient: 10 years). Skeletal Class II, hyperdivergent, dental Class II, arch-length discrepancy (ALD), anterior open bite, lingual dysfunction. First functional stage: ENT check-up, tongue rehabilitation using retroincisal spurs. Second orthodontic stage: multibracket appliance with extraction of 15-25-35-45. 18/09/2007 (age of patient: 12 y 10 m). Upper arch: palatal wire bonded from 12 to 22 and nightguard. Lower arch: bonded lingual wire from 33 to 43. 20/11/2007 (age of patient: 13 years). Poor state of teeth: risk of caries.

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