ceph, removing two bicuspids is going to have her end up with a lot of overjet. Simple alignment of the upper. That would be very doable with aligners, if you and she wanted to go that direction. Closing lower bicuspid spaces with aligners is a long, long path, if you can ever get it completely done. No elastics. Her TMJs are worrisome and what tcarlyle says above about getting better imaging for a better diagnosis would be a wise thing to do. Permanent bonded U/L retainers with Essix overlays. n 3/25/2019 See the rest online! Sometimes the patient's desires determine the treatment path more than a doc might like. This is a case where the chief complaint makes surgery a must. See why- along with similar cases-online. To view this particular message board, head to orthotown.com and search Message Boards for "Adult Surgical." This thread will be the top result. orthotown.com \\ MAY 2019 27https://www.orthotown.com/Search.aspx?q=adult+surgical http://orthotown.com/register http://www.orthotown.com