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Article: Volume 14 Number 4 Page 223 - October 2021

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  Orth Update 2021; 14: 223-227

Orthodontics:  Diagnostic dilemmas: case presentation

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Abstract: This article reports on a case presenting to a university dental hospital. We encourage readers to assess and develop their own management plan. Potential options and the treatment carried out are discussed.

Clinical relevance: There is often more than one treatment option to manage a malocclusion; however, there may only be one option that is acceptable to the patient in addressing their concerns. Appreciation of alternative treatment plans and implications for patients is important to consider when discussing and consenting for treatment.

Author notes: Graham Oliver, BDS, MFDS, MOrth, DClinDent, Post-CCST Orthodontics, Bristol Dental Hospital, Bristol. Nikki Atack, BDS, FDS RCS (Orth), MOrth RCS, MSc, Consultant Orthodontist, Bristol Dental Hospital, Bristol. Email:

Objective: The case highlights the importance of shared decision-making among all stakeholders.