By Robert Allen, DDS Fig. 1 Fig. 2 ny time extractions are deemed necessary and utilized as a part of orthodontic treat-ment it could be labeled a “compromised” treatment solution. As orthodontic practitioners, we all wish every patient could be treated to an excellent ideal result main-taining all of the patient’s denti-tion. However in most adult patients we are unable to utilize expansion and jaw development to adequately accommodate alignment when severe crowding and/or skele-tal malocclusions exist. In non-severe Class II or III cases with crowding, removal of selected teeth can aid in camouflaging the skeletal discrepancy. With careful diagnosis and removal of bicuspids in a delib-erate pattern, a stable and accept-able result can be achieved. Patient Brandon C. presented for orthodontic treatment as a part of the Academy of Gp Orthodontics 12 session Hands-on Class. His chief complaint was crowding. He was a 30 year old Caucasian male with A 8 Fall 2020 JAOS