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Impacted/transposed #23. Vectors of movement on #23 are distalize until the root of #21 is cleared and then buccal and distal and occlusal toward #24
Unerupted /impacted lower #48 and supernumerary #49 with possible mandibular nerve involvement at #48. Four first premolars have probably been extracted.
Missing upper laterals and impacted lower 3rd molars
Numerous teeth exhibit elongation and dilaceration, such as teeth #15 and #25.
Missing #34 and impacted #35 with possible partial root development. Two upper premolars have probably been extracted or missing. #28 erupting in X-bite.
Full palatal position #12 and #22 with possible root shortening #11 and #21.
Buccal impaction of #23 in good position and #22 root normal.
#38 in low horizontal impaction with mandibular nerve involvement.