MSE

13-year-old female

Chief complaint: “Jaw dysfunction and clicking bilaterally.”

Initial: Constricted maxilla, severe crowding on maxilla and mandible with oversized mandibular premolars, blocked out canine, shifted midline on maxilla.

Treatment: MSE (Maxillary Skeletal Expander) with braces

2.Initial2

Before

3.Debond2

After