message board This Case Is Suitable for Canine Substitution This doc shares how he plans to treat a female patient with congenitally missing U2s HJS Member Since: 01/07/06 Post: 1 of 6 She is a 14-year-old female with congenitally missing U2s. She is Class I skeletal and dental with proclined upper and lower anteriors. My plan is to extract L4s with canine substitution in upper. ■ 5/4/2019 socoortho Member Since: 03/21/08 Post: 2 of 6 My recommendation is not to extract on a bimax protrusive patient who already has multiple diastemas. Even if you get the mandibular spaces closed it will be very hard to retain. I understand your desire to help the patient, but I think restoring the missing teeth is the better long-term plan. ■ 5/4/2019 Find out what happened next! If you have any questions for "HJS" or would like to share your thoughts on this interesting case, go to orthotown.com/magazine and find this thread among this month's featured message boards. 20 JUNE 2019 // orthotown.comhttps://www.orthotown.com/messageboard/thread.aspx?s=6&f=693&t=328718&g=1 http://www.orthotown.com