Therapeutic Extraction Of Premolars For Correction Of Severe Crowding A Case Report On Orthodontic Camouflage (Original Research Article)

Abstract

This case report evaluates the management of bimaxillary dentoalveolar protrusion in a female patient with a Class II malocclusion. The case required extraction of 1 st premolars for correction of the proclined and forwardly placed upper and lower front teeth and also for correction of crowding in upper and lower front teeth. Clinical and cephalometric evaluation revealed skeletal Class II malocclusion with crowding and a convex facial profile, an average to vertical growth pattern, potentially incompetent lips, a posterior divergent face, increased overjet and average overbite. Following fixed orthodontic treatment by removal of 1 st premolars in the upper and lower arch 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.