European College of Orthodontics Commission of Affiliation and Titularisation.

UNLABELLED: Date of birth: 08/05/1954; gender: female. A.

PRETREATMENT RECORDS: (10/2006; 52.6yrs).

DIAGNOSIS: Skeletal Class III, normodivergent. Dental Class III with anterior and left lateral crossbite. Misalignment of the interincisal midlines with leftward deviation of the lower midline due to lateral mandibular deviation to the left. Irregular occlusal plan. Missing 16-18-28-38-48. Devitalized 26-36-46 (with apical resection of the distal root). Crowns at 36-46.

TREATMENT: Fixed multiband lingual appliance (Ormco seventh generation). Mandibular levelling, correction of the incisal and mandibular lateral segment torques. Bite jump with bite turbos and recentering of the interincisal midlines by means of intermaxillary traction. B. POST-TREATMENT RECORDS: (9/2008; 54.6yrs).

RETENTION: Heat-shaped Osamu-type splint and wire bonded lingually 33 to 43. C. POST-RETENTION RECORDS: (10/2009; 55.6yrs). D.

CLINICAL OBSERVATION: Concave profile with prominent nose and chin. In the facial view, her face is asymmetrical and the chin is inclined to the left. Convergence of the horizontals by rotating the bi-commissural plane down and to the right. Unattractive smile showing a dark corridor on account of the tipping of the occlusal plane.