Orthodontic treatment of Class I malocclusion with severe crowding, rotations in upper & lower anterior - 7

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 Diagnosis:

    A female patient came with the chief complain of irregularly placed upper and lower front teeth. The extraoral examination reveals mesoprosopic faceform, mesoocephalic headform, straight profile, competent lips, average nasolabial angle. The intraoral examination shows Class I molar relation, Class I canine relation  with severe crowding in upper & lower anterior teeth. Rotations present in upper and lower central incisors. Diagnosis is Angle's Class I malocclusion with anterior crowding.


Treatment Objectives: 
  • To correct crowding in upper & lower anterior teeth
  • To correct rotations of upper & lower central incisors
  • To achieve ideal overjet and overbite
  • To correct smile

Treatment Plan: 
  • Non-Extraction 
  • Leveling and alignment 
  • Inter-proximal reduction 
  • Finishing and detailing

Treatment Progress: 

    The orthodontic treatment is started with banding and bonding in upper and lower arches with standard 0.022 inch MBT preadjusted edgewise appliance. The initial leveling and alignment process is started on 0.014 nickel‑titanium (NiTi) arch wire. The inter-proximal reduction is performed in upper and lower anterior teeth. The sequential change of arch wires are 0.016 nickel‑titanium (NiTi), 0.017 x 0.025 NiTi, 0.019 x 0.025 NiTi, 0.019 x 0.025 SS. After the leveling & alignment is completed. Finishing & detailing is done on 0.019 x 0.025 braided SS wire by settling elastics. The overall treatment duration is approximate 1 year. After removal of orthodontic appliance, lingual fixed retainer and removable essix retainer are given.

                                                                            



Treatment Results: 

    The post-treatment photographs showed Class I molar and canine relation, ideal overjet and overbite, average nasolabial angle, competent lips, well coordinated arches. The profile & smile are also improved. The pleasing smile is obtained with proper interdigitation of occlusion.

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