Mika initially presented with a chief concern of crowding, overjet and asymmetry. (Note the midline deviation with a left side full class II relationship.) She was treated with fixed appliances in approximately 24 months. She finished with excellent occlusion, with a full correction of the class II and with idealized occlusion and improved overjet. Early attrition is evident due to bruxism, and nightly-worn overlay retainers have been recommended.