Class II malocclusion with mutilated anterior segment: Treated with a rare approach-creating an apparent midline

Mutilated cases pose a challenge to orthodontists by limiting the treatment options.The following case report shows a 15-year-old male patient with Class II malocclusion who had missing central incisor and canine in the upper right quadrant, which were extracted around 4 years back. The case was treated by space closure involving movement of left central incisor into right central incisor position and conversion of the left lateral incisor into left central incisor. Overall an esthetic result was achieved saving the patient from the need for a prosthesis