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the tweed profile - The Charles H. Tweed International Foundation

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<strong>The</strong> following records are those of a 12-year-old girl.<br />

She had no crowding and a Class I malocclusion with overjet. She was treated non-extraction.<br />

Although an acceptable occlusion was achieved for this patient, upon closer examination one can see that her<br />

face got longer, her mandible rotated down and back, and her smile got gummier.<br />

<strong>The</strong>se unfavorable sequellae were <strong>the</strong> result of lack of vertical control. <strong>The</strong> cephalometric analysis shows an<br />

FMA of 35˚, ANB of 7˚, FMIA of 48˚, and a facial height index of 50.<br />

One should have been able to instantly know what would happen if <strong>the</strong> patient was treated non-extraction.<br />

Although an acceptable occlusion was achieved, facial balance was worsened. <strong>The</strong> molars erupted. <strong>The</strong>re was<br />

extrusion of incisors and clockwise mandibular rotation.<br />

9

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