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This appliance was an effective means of distalizing molars into a Class I relationship with little patient cooperation.
After 18 months of treatment, molar and canine class I relationship with normal overjet and overbite were achieved.
Improper buccolingual inclinations of the anterior teeth might lead to space deprivation within the dental arch [1], inability to set a solid class I relationship with anterior guidance, and suboptimal smile esthetics, while improper inclinations of the posterior segments might be an obstacle to ideal cusp-to-fossa relationships between the maxillary and mandibular teeth [2].
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