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Chesterfield and North Derbyshire Royal Hospital, Chesterfield, UK
Address for correspondence: H. F. McKeown Orthodontic, Department Chesterfield and North Derbyshire Royal Hospital, NHS Trust Calow Chesterfield Derbyshire S44 5BL UK. Email: hfionawatson{at}aol.com
A crowded, high angle Class II case is presented and illustrated with stage clinical photographs. It was successfully treated with modified Twin Blocks and high pull headgear, extraction of all four first premolars, and upper and lower pre-adjusted edgewise appliances.
Key words: Orthodontics, clinical case report, modified twin blocks
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