Published May 15, 2021



PLUMX
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar


Dr. Lishoy Rodrigues*

Dr. Shilpa Chawla Jamenis

Dr. Bhushan Jawale

Dr. Bhagyashree Jadhav

Dr. Vanessa Varghese

Dr. Tejas Kadam

Dr. Chirayu Jain

Dr. Almas Shaikh

Article Details

Abstract

This case report evaluates the management of protrusion in a female patient with a Class I malocclusion with conventional fixed appliance . The case required extraction of 1st premolars for correction of the and forwardly placed upper and lower anterior teeth. we managed it without extractions by correcting just the angulation of the upper central incisors which drastically bought about an improvement in the patients smile, profile and aesthetics. Clinical and evaluation revealed skeletal Class I malocclusion with a convex facial profile, an average to horizontal growth pattern, an divergent face, increased and average overbite, severe jetting in the maxillary anterior region and mild crowding in the mandibular anterior region, potentially incompetent lips, increased lip fullness and lip strain and a decreased angle. Following fixed orthodontic treatment by changing the angulation of upper central incisors and 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.

Keywords
References
Section
Articles