This article will present the treatment for a nine year old male patient who had orthodontic, orthopedic and dental problems. He presented with both Class III dental and Class III skeletal classifications. Significant dental problems in the anterior maxillary region consisted of a congenitally missing left lateral incisor and a peg shaped right lateral incisor. An anterior crossbite and Class III dental relationship were corrected in the initial phase of treatment. Phase II focused on orthodontic, prosthetic and restorative treatment to achieve a proper anterior over-bite and overjet that would serve as an esthetic factor and stabilize his dentition.
Presentation
At the time of the initial orthodontic consultation, the patient was 9.5 years of age and had an average medical history. However, his dental history indicated the need for mfanagement by a pediatric dentist, due to behavioral issues. His genetic background was unknown as he was adopted.

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