Patient presented with a small lower jaw, congenitally small upper front teeth, misaligned bite, protrusive upper teeth and a deep bite at the front teeth. The treatment entailed upper and lower fixed appliances and orthognathic sugery to the lenghten the lower jaw. The deep bite was corrected and the teeth assumed a new ideal angle. The upper front teeth were built up to the ideal dimentions with composite resin during the orthodontic treatment by the patient's dentist. Acknowledgement: The orthognathic surgery was done by Mr Manolis Heliotis, Consultant Oral and Maxillofacial Surgeon, 152 Harley street, London, W1G 7LH. https://www.manolisheliotis.co.uk