The upper midline seems to be deviated to the left (Fig.5 dashed lines, 20 days since last visit).  The midline deviation is first corrected by distalization of the upper right canine (using a closed spring). Placed are .016x.016" stainless steel wires.

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Xin Wei, DDS, PhD, MS 1st edition 09/27/2014, last revision 09/27/2014