If no extractions are carried out in the lower arch the space for upper arch alignment may come from either distal movement of the upper buccal segments or extraction of upper premolars.

Where there is considerable space, the buccal occlusion is well inter-cuspated and the canine has a pointed cusp tip then the usual treatment is to open the spaces.

Birmingham Orthodontics will move one its locations to a newly renovated space as a part of a renovation blitz for the company.