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SAR Journal of Dentistry, Oral Surgery and Medicine
Volume-2 | Issue-03
Case Report
“Effect of Asymmetric Premolar Extractions on Smile Aesthetics in A Patient With Severe Crowding” – A Case Report
Bhushan Jawale, Lishoy Rodrigues, Tushar Patil, Vijay Naik, Amit Nehete, Sameer Narkhede
Published : May 16, 2021
DOI : 10.36346/sarjdosm.2021.v02i03.001
Abstract
Abstract: This case report evaluates the management of crowding in a female patient having a Class I malocclusion with the help of conventional fixed appliance mechano-therapy. The case required extraction of 3 premolars for correction of the proclined, forwardly placed and crowded upper and lower anterior teeth. Clinical and cephalometric evaluation revealed Class I skeletal pattern and clinical examination revealed presence of an orthognathic facial profile, an average to vertical growth pattern, increased overjet and average overbite, crowding in maxillary and mandibular anterior region, potentially incompetent lips, increased lip fullness and lip strain, a gummy smile with an unaesthetic flat smile arc and increased buccal corridor spaces. Following fixed orthodontic treatment by removal of 3 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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