Treatment of Angle class I malocclusion with severe crowding by extraction of four premolars: A case report

Anas Imran,Fazal Shahid,Mamun Khan Sujon,Mohammad Khursheed Alam,Nashid Fareen,Rafiqul Islam,Sanjida Haque,Shaila Zaman,Shamima Easmin Nishi,Shifat A Nowrin

doi:10.3329/bjms.v17i4.38339

Anas Imran, Fazal Shahid + Show 8 more

Open Access

https://doi.org/10.3329/bjms.v17i4.38339

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Abstract

Aims: To correct the Angle class I malocclusion with crowding via four premolar extractions.Presentation of case:A 19-year-old Malaysian female presented with the bimaxillary protrusion, crowding, high canines, midline deviation and edge-to-edge anterior bite. Upper lateral incisors were palatalized and in crossbite interactions with the opposite teeth.Discussion: Treatment was initiated using fixed orthodontic appliances followed by four 1st premolar extractions in both arches. Case was finished with good inter cuspation of the upper and lower teeth. Molars were finished in a Class I relationship with canine guidance, and ideal overjet and overbite were obtained.Conclusion: Successful finishing of a case with beautiful smile, obtained proper overjet and overbite, corrected cross bite, midline shifting and the improved soft tissue profile.Bangladesh Journal of Medical Science Vol.17(4) 2018 p.683-687

Highlights

Due to increased consciousness regarding facial appearance, aesthetic treatment has become very common practice these days
Case report The subject was a 19-year-old female, she came for treatment because she was concerned about the severe crowding of her anterior teeth with dental midline deviation
The problems list was concisely as follows: (1) Bimaxillary protrusion with Angle Class I molar relationship with high canine, (2) severe tooth crowding in the upper dental arch and moderate tooth crowding in the lower dental arch in anterior region, (3) edge to edge anterior bite, (4) buccaly placed upper and lower canines, (5) crossbites of the upper right and left lateral incisors, (6) lower dental midline deviated about 4 mm to the left side

Summary

Introduction

Due to increased consciousness regarding facial appearance, aesthetic treatment has become very common practice these days. The present case describes orthodontic treatment in a patient with Class I malocclusion with severe crowding in the anterior region and dental midline deviation, treated with four premolar extractions. Treatment of Angle class I malocclusion with severe crowding by extraction of four premolars: A case report

Results

Conclusion