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South Asian Research Journal of Oral and Dental Sciences (SARJODS) (ICV 2020: 76.24)
Volume-3 | Issue-03
Case Report
“Space Closure with MBT Mechanics for Treatment of Bimaxillary Protrusion in a Hypodivergent Adult Male Patient” – A Case Report on Orthodontic Camouflage
Dr. Bhushan Jawale, Dr. Lishoy Rodrigues, Dr. Biju Kalarickal, Dr. Shrinivas Ashtekar, Dr. Rahul Deshpande, Dr. Tushar Patil
Published : June 6, 2021
DOI : 10.36346/sarjods.2021.v03i03.006
Abstract
The following case report shows management of class I bimaxillary protrusion malocclusion in an adult male hypodivergent patient with extraction of all first premolars. The effective management of space without losing anchorage is itself a big challenge. The results produced a pleasant facial profile with attainment of good occlusion. The case required extraction of 1st premolars for correction of the proclined and forwardly placed upper and lower anterior teeth. Clinical and cephalometric evaluation revealed a Class I skeletal pattern and clinical examination revealed presence of a convex facial profile, a horizontal growth pattern, increased overjet and average overbite, mild crowding in mandibular anterior region, potentially incompetent lips, increased lip fullness and lip strain with an unaesthetic smile arc and a decreased nasolabial angle. Following fixed orthodontic treatment by removal of all 1st premolars 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.

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