Level C

Diagnosis

Class I malocclusion
Overbite tendency and normal overjet

Upper arch: mandibular contraction / Mild rowding / Cross Bite 1.4
Lower Arch: mild crowding
Atypical swallowing / Lingual thrust

Treatment plan

Malocclusion: Maintaining dental and skeletal relationships
Overbite: Correct with light extrusion of upper incisors
Maintain Overjet
Upper arch: Dentoalveolar maxillary expansion / Crowding resolution by IPR
Lower arch: Resolve rowding with IPR
Speech therapy to improve swallowing

Before

After

Other cases