This case report is of a 27 year old male patient who presented
with irregularly placed and severely crowded teeth in both maxillary
and mandibular arch with non-coincident dental midlines. This case
was corrected non surgically merely by employing simple mechanics
with the help of Fixed Orthodontic Mechanotherapy by extracting
1st premolars in both arches followed by retraction and closure of
spaces with the help of Elastomeric chains. The case ended in a Class
I Molar and canine relationship bilaterally. The case report emphasizes
on the need for extracting 1st premolars for the purpose of correcting
various problems the patient presented with such as severe crowding,
peg shaped laterals, deviated midlines, incompetent lips and a gummy
smile. Following fixed orthodontic treatment, marked improvement in
patient’s smile 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. Minor spaces
weren’t closed at the end of the treatment for the purpose of composite
build up restorations of the peg shaped lateral incisors.The patient was
extremely satisfied with the results at the end of treatment