A Visual Treatment Objective (VTO) is like a blueprint or a visual plan to forecast the normal growth of the patient and the anticipated influences of treatment, to establish the individual objectives we want to achieve for that patient. Treatment for a growing patient must be planned according to growth changes, not according to the skeletal structure that the patient presents initially. Orthodontic treatment is monitored with head films, usually at 6-month intervals. Whenever a case is encountered in which growth is occurring in a different direction than expected, a new mid-treatment VT0...