• Severe upper and lower arch crowding
• Buccally excluded UR3, impacted lower canines
• Ectopic and impacted LR3
• LR3 is excluded from the arch and ectopic in position, with its crown lying beneath the roots of the lower central incisors
• Potentially impacted LL3 due to insufficient space
• Heavily restored LL6 and UR6
• Hypoplastic UL6
• Upper and lower centre line shift to the right

How will you treat?

Link: https://drive.google.com/file/d/1UhHHaGLYLzzIeDnF_9qNTw6LrwXxbpWS/view?usp=drivesdk