Asymmetric Extraction - A Minimalistic Approach

Abstract

Male patient, at age 20, in good general health with no significant medical history. The main complaint was related to missing teeth in the upper arch and crowding especially in the lower arch. Tooth leveling and alignment were completed in 8 months by sequential changing of copper niti wires. At the end of this phase, the anterior overjet was increased, and the molar relationship was still Class I. Space was created between the central incisors and lateral incisors for the prosthetic tooth in the upper arch using open coil spring. Meanwhile, the lower extraction space of the lower incisors was closed by retraction. Space created for prosthetic crown and space closure in lower arch. Once the space was closed the overjet was increased to 2-3mm. And the upper missing central incisor was replaced with the prosthetic crown. Keywords: Single incisor extraction, Reduced overjet, Missing upper incisors, Prosthetic rehabilitation