Open bite, root resorptions, midline deviation, and bilateral crossbite malocclusion

Abstract

AbstractThere has been a progressive increase in demand for orthodontic treatment for adult patients. A 40-year-old female came to the orthodontic clinic complaining of overcrowding and midline deviation. Clinical examination showed facial asymmetry and midline deviation due to the extraction of the maxillary and mandibular first premolars of the right side. A periapical radiograph showed a severe root resorption in the maxillary central and lateral incisors. The treatment objectives were to correct the midline deviation, close the open bite, correct the bilateral posterior crossbite, and obtain a Class I relationship for the molars and canines on both sides. This case report shows a treatment approach that was effective in correcting all problems of malocclusion that the adult patient presented. The treatment results have established a new functional and stable occlusion with improvement of facial esthetics, and the roots were no shorter than before treatment.