Due to congenital missing UL5, the upper dental midline should be deviated to the left (Fig.2).  Following UR4 extraction, the upper midline should be able to be corrected (Fig.7 (black line: original midline)).  Bring the patient back for midline confirmation and photos.

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Xin Wei, DDS, PhD, MS 1st edition 05/27/2019, last revision 05/27/2019