This case report evaluates the management of a crowded borderline
extraction case in a male patient with Class I malocclusion using Self
Ligating bracket system. The case ideally required extraction of 1st
premolars for correction of crowding in the upper and lower anterior
region, but was managed with non-extraction merely by moderate
arch expansion using self-ligating braces. Clinical and cephalometric
evaluation revealed skeletal Class I malocclusion with crowding, an
average to horizontal growth pattern, with an orthognathic facial profile.
Following fixed orthodontic treatment using self-ligating braces, 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.