A new provisional (Fig.2,3) co-incides with the facial midline.  Brackets will be placed between UR4 to UL3 except UL2 (symptomatic once with chronic periodontitis) with initial proximal reduction between UR1-4 in preparation to correct cross bite of UR2.  Severe buccal plate atrophy at UL1 should have been prevented by block graft or Titanium mesh.

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Xin Wei, DDS, PhD, MS 1st edition 08/31/2018, last revision 09/12/2018