Submitted by:
Smith Ciarra
Do you agree with the tx plan.
Pt has a convex profile with retruded mandible.
Her lower lip however looks very full.
Hyperactive mentalis but pt reports nasal breathing and tonsils+adenoids seems clear on ceph(potentially bc of retruded mandible mentalis is active?)
Vertical grower and pt is 16 years old
Tx plan to use:
carrier appliance 4-6 months
full upper and lower brackets.




