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Patient 1
Problem: Crowding in the upper with the bottom jaw markedly retrusive
Solution: Started with partial braces in the upper to decrease the crowding, then a twin block appliance to bring the bottom jaw more forward and improve the bite followed by fixed braces on all the other teeth to achieve ideal functional occlusion
Notes: The option of bringing the bottom jaw forward improved the patient's soft tissue aesthetics and smile
![](https://static.wixstatic.com/media/0e0c05_a7e429ce8e884b9e9a825fc2601c9da6~mv2.jpg/v1/fill/w_224,h_133,al_c,lg_1,q_80,enc_avif,quality_auto/0e0c05_a7e429ce8e884b9e9a825fc2601c9da6~mv2.jpg)
![](https://static.wixstatic.com/media/0e0c05_3e371e5b08fc4fe991ad8f69b254846e~mv2.jpg/v1/fill/w_140,h_150,al_c,lg_1,q_80,enc_avif,quality_auto/0e0c05_3e371e5b08fc4fe991ad8f69b254846e~mv2.jpg)
![](https://static.wixstatic.com/media/0e0c05_3b4dbfedf97b4d179bec89311b62d949~mv2.jpg/v1/fill/w_234,h_263,al_c,q_80,usm_0.66_1.00_0.01,enc_avif,quality_auto/0e0c05_3b4dbfedf97b4d179bec89311b62d949~mv2.jpg)
![](https://static.wixstatic.com/media/0e0c05_a1ce0c1a4c8d4e769136746c7f5db0f4~mv2.jpg/v1/fill/w_140,h_150,al_c,lg_1,q_80,enc_avif,quality_auto/0e0c05_a1ce0c1a4c8d4e769136746c7f5db0f4~mv2.jpg)
![](https://static.wixstatic.com/media/0e0c05_cab3147e9dac448e99e00536cbbb1ef7~mv2.jpg/v1/fill/w_150,h_168,al_c,lg_1,q_80,enc_avif,quality_auto/0e0c05_cab3147e9dac448e99e00536cbbb1ef7~mv2.jpg)
![](https://static.wixstatic.com/media/0e0c05_3b4dbfedf97b4d179bec89311b62d949~mv2.jpg/v1/fill/w_234,h_263,al_c,q_80,usm_0.66_1.00_0.01,enc_avif,quality_auto/0e0c05_3b4dbfedf97b4d179bec89311b62d949~mv2.jpg)
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