Abstract
At present, orthodontists are treating more adult patients with missing or hopeless first molars as these teeth have the highest incidence of decay in permanent dentition. This case report presented the closure of extraction spaces of four first molars in a patient with Class II malocclusion. High torque self-ligating brackets were used combined with anterior bite turbo and Class II elastics. According to the case report, the combination of anterior bite turbo and Class II elastics may have the possibility to correct bite deepening during space closure and allow further upper incisor retraction and Class II correction.
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