Interdisciplinary management of an adult patient with significant restorative treatment needs and a complex malocclusion.

Transverse maxillary deficiency may be associated with dental crowding, compromised aesthetics and impaired function. Non-surgical correction of maxillary transverse deficiency through rapid maxillary expansion is routinely performed for young patients; however, surgical intervention is generally required for adults. An interdisciplinary treatment approach is necessary to achieve the desired treatment objectives for challenging cases. This case report demonstrates a pleasing treatment outcome for a patient with a severe maxillary transverse deficiency, significant crowding and extensive active caries.