Introduction

Incidence of malocclusion, according to The World Health Organization is considered one of the most important oral health problems, third in ranking behind caries and periodontal disease.³ Multifactorial in nature, hereditary, environmental or a combination, can interfere with sucking and eating patterns, as well as breathing habits early in life. Not all malocclusions require treatment-orthodontic intervention is dependent on functional issues such as chewing, speech, and TMJ, as well as severity of crowding and esthetic factors.