Patient's family was concerned about the severe crowding in the upper and lower dental arches. The upper and lower dental arch were very narrow and this lead to insufficient space for the eruption of multiple upper and lower teeth causing potential impaction. Widening of the upper dental arch was carried out with a view to providing this young patient with a "wider" and "fuller" smile, as well as creating space to accommodate all the teeth without the need for the loss/extraction of any permanent teeth. The upper right lateral incisor is a megadont (unusually large and wide tooth); the sides of the this tooth were polished by 0.1mm to make it look more symmetrical with it's mirror tooth(upper left lateral incisor).