Case Report Final models Lateral Cephalometric Measurements Variable Norm Pre-Treatment Post-Treatment SNA (º) 82.0 87.3 87.2 SNB (º) 80.0 83.8 83.9 ANB (º) 2.0 3.5 3.3 FMA (FH-MP) (º) 25.0 23.3 23.0 SN-MP (º) 32.0 27.2 25.5 4.0 2.3 2.0 104.0 104.0 106.5 4.0 7.8 4.5 IMPA (L1-MP) (º) 90.0 90.5 87.1 Upper Lip-E Line (mm) -2.0 -0.3 -1.2 Lower Lip-E Line (mm) -4.0 2.8 0.4 U1-NA (mm) U1-SN (º) L1-NB (mm) Editor's Notes Sometimes limitations that are imposed by a patient's unique preferences encourage the clinician to use more innovative approaches in order to achieve the practical objectives of the 42 treatment plan. The author utilized very well the benefits of a lingual appliance and TADs in order to treat this case. PCSO Bulletin Spring 2018