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Name: Gincy Mathew  Age: 21  Sex: Female

h/o All 1st premolars extracted and fixed orthodontia elsewhere resulting in deep-bite and excessive overjet.
 o/e Vertical Excess of Maxilla with proclination of upper anteriors and spacing with flaring incisors. Closed deep bite+++. Overjet +++. Orthodontic relapse. Rt U7 & L6 and Lt U6 & L7 extracted due to decay.

Tentative Treatment Plan: Lefort I and AMO along with orthodontia.

Beggs Ortho treatment started and anterior space closure and regaining/reopening of U4's space being tried.