Abstract
The ideal treatment protocol for an adult patient with skeletal class II division 1 malocclusion and deep bite has beyond doubt been accepted as combined surgical and orthodontic management including upper and lower bicuspid extractions. Here, a case report has been presented where a similar problem has been managed with conventional orthodontics alone and selecting an unconventional extraction pattern taking into consideration certain key factors that aid in long-term retention. Instead of extraction approach of upper and lower bicuspids, extraction of two upper bicuspids and single incisor extraction was done in the mandibular arch.
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