Abstract: In young patients, tooth movement is affected by growth while in adults we deal strictly with tooth movement alone. In addition, orthodontic treatment in the adults is often based on symptoms detected by the patient while in children; it is based more often on signs detected by practitioners or parents. Of equal significance is the fact that the adults seeks treatment more often for esthetic reasons and hence is likely to have unreasonable expectations about the outcome of the treatment, is less adaptable to the appliance and is uncompromising in his/her appraisal of the treatment results. This case report evaluates the management of crowding in a female patient with a Class II malocclusion with conventional fixed appliance mechano-therapy by using Temporary anchorage devices for the purpose of absolute anchorage. The case required extraction of 1st premolars for correction of the proclined, forwardly placed and crowded upper and lower anterior teeth. Clinical and cephalometric evaluation revealed skeletal Class I pattern and clinical examination revealed presence of an orthognathic facial profile, an average to horizontal growth pattern, increased overjet and overbite, crowding in maxillary and mandibular anterior region, incompetent lips, increased lip fullness and lip strain, a gummy smile with an unaesthetic reverse smile arc and a decreased nasolabial angle. Following fixed orthodontic treatment by removal of all 1st premolars and with retraction of anterior segment, a marked improvement in patient's smile, facial profile and occlusion was achieved and there was a remarkable increase in the patient's confidence and quality of life. The profile changes and treatment results were demonstrated with proper case selection and good patient cooperation with fixed appliance therapy.