case_images: PMC10903925_01
case_images: Pretreatment extraoral photographs.. (A) Frontal. (B) Smiling. (C) Profile.
case_images: cureus-0016-00000053241-i01.jpg
case_images: PMC10903925_01_cureus-0016-00000053241-i01.jpg
case_images: FIG1
case_images: Lips were competent, the nasolabial angle was acute, and the mentolabial sulcus was deep (Figure 1).
case_images: Pretreatment intraoral photographs.. (A) Maxillary arch. (B) Mandibular arch. (C) Right lateral. (D) Left lateral.
case_images: cureus-0016-00000053241-i02.jpg
case_images: PMC10903925_01_cureus-0016-00000053241-i02.jpg
case_images: FIG2
case_images: The upper and lower arches were U-shaped with Class II molar and canine relationships on both the right and left sides (Figure 2).
case_images: Pretreatment orthopantomogram.
case_images: cureus-0016-00000053241-i03.jpg
case_images: PMC10903925_01_cureus-0016-00000053241-i03.jpg
case_images: FIG3
case_images: Pretreatment lateral cephalogram.
case_images: cureus-0016-00000053241-i04.jpg
case_images: PMC10903925_01_cureus-0016-00000053241-i04.jpg
case_images: FIG4
case_images: Intraoral photographs with the appliance.. (A and B) Activated K-SIR loop. (C and D) Ligated K-SIR loop.. K-SIR: Kalra Simultaneous Intrusion and Retraction
case_images: cureus-0016-00000053241-i05.jpg
case_images: PMC10903925_01_cureus-0016-00000053241-i05.jpg
case_images: FIG5
case_images: TMA archwire without any curve of Spee (Figure 5).
case_images: Post-treatment extraoral photographs.. (A) Frontal. (B) Smiling. (C) Profile.
case_images: cureus-0016-00000053241-i06.jpg
case_images: PMC10903925_01_cureus-0016-00000053241-i06.jpg
case_images: FIG6
case_images: The patient profile improved extraorally (Figure 6).
case_images: Post-treatment intraoral photographs.. (A) Maxillary arch. (B) Mandibular arch. (C) Right occlusion. (D) Left occlusion.
case_images: cureus-0016-00000053241-i07.jpg
case_images: PMC10903925_01_cureus-0016-00000053241-i07.jpg
case_images: FIG7
case_images: Post-treatment orthopantomogram.
case_images: cureus-0016-00000053241-i08.jpg
case_images: PMC10903925_01_cureus-0016-00000053241-i08.jpg
case_images: FIG8
case_images: Post-treatment lateral cephalogram.
case_images: cureus-0016-00000053241-i09.jpg
case_images: PMC10903925_01_cureus-0016-00000053241-i09.jpg
case_images: FIG9