Asymmetrical smile is one of the mist difficult cases in the daily orthodontic clinic. In Taiwan, lots of this kind of patients also have the protrusive upper and lower lips.
In the following case, missing of the left upper first molar was noted in the beginning. I decided to close this space orthodontically, which mean no need of dental implant for this missing space.
Due to the facial profile problem, I need to extract the premolars to make the face more balance and symmetrical. The total treatment time is 18 months with miniscrews as the anchorage.
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