Case Report tionship on the left. He has 6 mm of overjet and 5 mm of anterior open bite with severely proclined maxillary and mandibular incisors with accentuated curve of Spee in the maxillary arch. Both his maxillary and mandibular teeth are severely crowded (8 mm and 5 mm respectively). The maxillary midline is 1 mm to the right of the facial midline; the mandibular midline is 3 mm to the right of facial midline. UR4 is in a lingually blocked out position, and UL3 and UL4 are transposed. Initial models Initial panoramic radiograph and lateral cephalogram Fall 2017 PCSO Bulletin 33