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A 14-year-old female Panamanian female patient, whose reason for consultation is: "I want to fix my teeth, is diagnosed as skeletal class II, vertical growth pattern, bilateral class II molar and bilateral class II canine with crowding, cross bite of # 26 and # 36 and upper and lower incisor protrusion. The treatment consisted of an orthodontic phase with first maxillary premolars and second premolars inferior extraction, alignment, leveling, anchoring with the use of a TAD in the palate with TPA, detailed and retention; With MBT technique, active treatment time 2 years 3 months.
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