She presented severe malocclusion which included maxillary constriction, #46 mis...

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She presented severe malocclusion which included maxillary constriction, #46 missing caused alveolar bone resorption, buccal segment crossbite and lip incompetency. I did MARPE and then #14, 24 extrated, #47, 48 and #27, 37 protracted to decrease numbers of implants.

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