Efficiency of Interproximal Reduction Technique for Correction of Anterior Crowding without Extraction: A Case Report (original) (raw)

Management of Class I crowding by comprehensive edgewise orthodontic therapy

Bangladesh Journal of Orthodontics and Dentofacial Orthopedics, 2013

This case report describes the management of a 25-year-old female patient having Class I malocclusion with maxillary and mandibular crowding.The treatment include extracting the lower right central incisor and comprehensive edgewise orthodontic therapy. We decided extraction of lower right central incisor because it was broken down crown and also for shortening the treatment time and easy correction of mandibular crowding. DOI: http://dx.doi.org/10.3329/bjodfo.v1i2.15988 Ban J Orthod & Dentofac Orthop, April 2011; Vol-1, No.2, 25-28

Treatment of Class I Malocclusion with Mild Crowding and Midline Shift

Dentino : Jurnal Kedokteran Gigi

Background: The main goal of orthodontic treatment is to obtain a normal relationship of the teeth with facial structures and it is generally accepted that orthodontic treatment will have effects on facial proportion. Nowadays, facial appearance has a big influence on someone's appearance. Aesthetic facial appearance will produce a proportional, harmonious, and youthful facial profile. Case: this case report aims to describe that non extraction orthodontic treatment in class I malocclusion with mild crowding and mildline shift is a treatment with considerable success. Case management: A 19 years old female came with a chief complaint of crowding in upper and lower jaw. Intraoral examination revealed bilateral Class I molar and canine relationship. Patient had crowding in upper and lower jaw, and midline shift in lower jaw. Extra oral findings included a flat profile with competent lips. Cephalometric analysis showed skeletal class I with orthognati maxilla and mandible. Patient ...

Crowded Teeth Elimination: Proportional and Controlled Narrowing of Upper Incisors

Journal of Dental Science Research Reviews & Reports

Anterior teeth crowding when the total width of the teeth is greater than the length of the anterior sextant of the dentition, is the most common dentomaxillary anomaly. In order to eliminate crowding of the anterior teeth the reduction of the proximal enamel is widely used to reduce the width of the teeth and improve conditions for subsequent orthodontic treatment [1-6]. Based on the calculation of the anterior sextant of the dentition using the «golden coefficient», it is possible to determine the optimal width of the central and lateral incisors for the anterior sextants of a given length, when all the anterior teeth will be symmetrical and proportional when they are in the correct position [7-10]. For the proportional lack of place distribution for all frontal teeth, it has been proposed to make the enamel reduction of every tooth from both proximal surfaces according to the calculation, with maintaining of contact surfaces and contact point position. Then orthodontic treatment ...

Conservative orthodontic treatment in a case with severe dental crowding

Romanian Journal of Oral Rehabilitation, 2018

Non extraction orthodontic treatment should be the best choice for both practitioners and patients when possible. That’s why in the last decades people are concerned more and more in developing new techniques for solving orthodontic problems without dental extractions . In our paper we present an adolescent case with severe dental crowding with two stage orthodontic treatment; in the first stage we used pedex appliance for distal movement of upper molars and correction of transverse discrepancy, followed by the second stage with fixed orthodontic appliance. The patient presented ectopic upper canines and class II malocclusion. At the end of the treatment our patient presented correct dental alignment, functional and stable occlusion, good profile, nice smile and improvement of the facial esthetics.

Interproximal reduction in orthodontics: why, where, how much to remove?

Australasian Orthodontic Journal, 2021

Interproximal reduction (IPR) is the deliberate removal of part of the dental enamel from the interproximal contact areas, which decreases the mesiodistal width of a tooth. This enamel may be removed for various reasons, but most commonly to create space during orthodontic treatment or to correct tooth-size discrepancies. Several authors have also encouraged its use as a method by which post-orthodontic stability might be enhanced, particularly in the lower anterior region. With the increased use of removable aligners for orthodontic treatment in which non-extraction therapy is often advocated, the use of IPR becomes a valuable tool to relieve crowding without over-expanding the dental arches. It is possible that inaccurate IPR could result in the over-reduction of enamel, the creation of ledges and notches in the proximal surfaces, increased tooth sensitivity or damage to the surrounding soft tissues. However, carefully conducted IPR performed within the recommended guidelines may ...

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

Bangladesh Journal of Medical Science

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 1 st 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.

Treatment of Class I Malocclusion with a Lower Incisor Extraction: A Case Report

Orthodontic Journal of Nepal

A case report is presented with Class I malocclusion, moderate lower anterior crowding, maxillary dental midline shift with missing right lateral incisor. The adult orthodontic case was treated comprehensively with the extractions of lower lateral incisor, and upper and lower left first premolars as the balancing extraction. Remarkable improvements were achieved in facial profile, axial anterior inclination, esthetic smile and midline correction in short treatment time. Thus, it is concluded that lower incisor extraction in moderate lower anterior crowding and midline shift yield better and stable results with minimal intervention in select cases.

Interproximal Reduction in Orthodontics: A literature review

2019

Copyright: ©2018 Shikha Rastogi et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Abstract One of the basic principles of Orthodontics is the creation of space to facilitate tooth movement. With appropriate case selection, interproximal reduction offers the ability to safely obtain sufficient space for tooth movement without the need for extractions and without compromising slenderized teeth. ISSN 2471-657X

Therapeutic Extraction Of Premolars For Correction Of Severe Crowding A Case Report On Orthodontic Camouflage (Original Research Article)

Global journal of dental specialty, 2021

This case report evaluates the management of bimaxillary dentoalveolar protrusion in a female patient with a Class II malocclusion. The case required extraction of 1 st premolars for correction of the proclined and forwardly placed upper and lower front teeth and also for correction of crowding in upper and lower front teeth. Clinical and cephalometric evaluation revealed skeletal Class II malocclusion with crowding and a convex facial profile, an average to vertical growth pattern, potentially incompetent lips, a posterior divergent face, increased overjet and average overbite. Following fixed orthodontic treatment by removal of 1 st premolars in the upper and lower arch with retraction of anterior segment, a marked improvement in patient's smile, facial profile and occlusion was achieved and there was a remarkable increase in the patient's confidence and quality of life. The profile changes and treatment results were demonstrated with proper case selection and good patient cooperation with Fixed appliance therapy.