Case Report Figure 3. Pretreatment panoramic radiograph and lateral cephalogram increased lower face height (ANS-Me, 69.3 mm) (Figure 3 and Table 1). The patient's cervical vertebral maturation is at stage 5, and her remaining growth is estimated to be minimal. The ABO Discrepancy Index score of this case is as high as 56 (Figure 4). Treatment Alternatives Option 1: Full fixed appliance for orthodontic treatment. Discuss the tongue habit with the patient and bond tongue spurs on the lingual surfaces of the maxillary incisors. Extract the maxillary first premolars, mandibular right second and left first premolars; restrict maxillary growth with high-pull headgear; intrude the maxillary molars using microimplants and correct the Class II with a Forsus™ Fatigue Resistant Device. Summer 2020 PCSO Bulletin Table 1. Pretreatment Cephalometric Measurements Variable Norm Pretreatment SNA (°) 82.0 85.3 SNB (°) 80.0 76.8 ANB (°) 2.0 8.5 FMA (FH-MP) (°) 25.0 32.9 SN-MP (°) 32.0 43.2 4.0 7.9 104.0 118.4 4.0 11.0 90.0 100.0 Upper lip-E line (mm) -4.0 0.4 Lower lip-E line (mm) -2.0 3.1 U1-NA (mm) U1-SN (°) L1-NB (mm) IMPA (L1-MP) (°) 51