Introduction
Orthodontic treatment aims to achieve facial equilibrium and a balanced relationship1 between teeth and underlying skeletal structures for all malocclusions, especially in patients with dental crowding.2 Rapid palatal expansion is becoming a popular treatment option for all patients with crowding because it allows predictable enhancement of dental arch perimeter3 rather than reduction of tooth mass.4 Miniscrew-assisted rapid maxillary expansion5 is an increasingly popular method for stable6 orthopedic expansion in arch width, especially in growing patients. Here, we describe an uncommon orthodontic approach to treating a patient with severe crowding; instead of dental extraction, treatment comprised increasing arch width and perimeter, enhanced by using a state-of-the-art miniscrew-assisted rapid palatal expander.