A 19 years old lady was not happy with her narrow palate and crowded teeth, and wanted to improve her confidence in meeting people. She has been advised for many years she needed dental extractions. Orthodontic treatment was carried out with miniscrew assisted maxillary skeletal expansion (MARPE/MSE) device to expand her narrow palate followed by ceramic braces. Treatment took 18 months to complete and without any dental extraction. She was provided with removable retainers. She is very happy with the result and smiles with lots of confidence.
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