Ngoc initially presented with the chief complaints of crowding and a blocked-out, protruding central incisor. He was missing a lower central incisor and started with a class III subdivision left malocclusion. His third molars were blocked-out and partially impacted and were removed prior to beginning orthodontic treatment. He was treated orthodontically with fixed braces in approximately 2 years without the removal of teeth, and finished with excellent results and occlusion.