**8. Presurgical orthodontics**

Upper removable appliance with a screw was fitted in the midline to expand the maxillary dentition and create space to relieve upper crowding. Upper and lower 0.018 standard edgewise fixed appliances were placed and the teeth were levelled and aligned. Class II elastics were used for decompensation of upper and lower incisors. At this stage the reverse overjet of the patient increased from 9 mm to 11 mm. Surgical wires were placed in the upper and lower jaws. After levelling, alignment, decrowding, decompensation and achieving increased reverse overjet, the patient was referred to the maxillofacial surgeon. (Figure 4)
