CASE STUDY Figure 18 Figure 15 Figure 19 Figure 16 Figure 20 Figure 17 can be a difficult proposition. However, it’s necessary to do so in order that the patient has a nicely balanced facial skeleton at the end of treatment (Fig. 16-B). Observations and Treatment Plan Considerations The main observation that I make in this case is that this patient has been blessed with an almost ideal facial skeleton. However, the teeth are terribly misaligned. My general default setting in most orthodontic cases is to finish the patient with a full complement of 28 or more teeth. However, this is not always possible. Some-times teeth need to be extracted, particularly in late adolescent and adult orthodontic cases. Along with straightening the teeth and correcting the asymmetric dental platform my main hurdle in this case will be to not increase the skeletal vertical dimension 26 Winter 2024 JAOS
Journal of the American Orthodontic Society JAOS Winter 2024: Page 26
