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Anterior Midline Correction

Look at the pics of the case here. This girl aged 15 years had her left Max
cuspid placed labially. After analysing the case it was decided to ext first
PMs on the right side. Because of use of implant screw we could easily shift
the anterior segment to the right and aligned the cuspid. Total treatment
time was 12 months.

If not for the implant screw, what would be your fate ? in treating this kind of case.

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