Fig. 13 Fig. 14 “Preliminary options given to the parents were no treatment or orthodontic therapy involving stimulation of maxillary bone growth and pressure on lingual aspect of maxillary teeth to create buccal protraction force. Once the parents heard all options, they choose to pursue orthodontic therapy.” b Use mandibular molar bite blocks to unlock bite and allow “jump” of anterior crossbite b Consider using brackets and archwires, if NPE treatment option of arms is unsuccessful b Long term retention and recall visit protocol Fig. 15 Fig. 16 b Estimated treatment time of 6-12 months (Fig. 25) Patient A: Case Summary & Analysis Preliminary orthodontic evalua-tion and cephalometric imaging were carried out together. Prelimi-nary options given to the parents were no treatment or orthodontic therapy involving stimulation of maxillary bone growth and pres-sure on lingual aspect of maxillary teeth to create buccal protraction force. Once the parents heard all options, they choose to pursue orthodontic therapy. The patient was scheduled for collection of orthodontic records including cephalometric images, impressions for stone models, and a subsequent appointment to review the records with explana-tion of findings, diagnosis, and treatment options. Orthodontic Fig. 17 22 Spring 2019 JAOS