2019
DOI: 10.47895/amp.v53i5.76
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Management of Angle Class I Malocclusion with Severe Crowding and Bimaxillary Protrusion by Extraction of Four Premolars: A Case Report

Abstract: Crowding and protrusion are some of the most common dental cases worldwide. The patient was a 20-year-old female who consulted for severe crowding, protrusion, and deep bite. Clinical examination and cephalometric measurement showed Class I skeletal and proclined incisor. Two step retraction technique was used to correct the condition. Management of tooth tissue discrepancy by the extraction of four premolars is one of the options in the treatment of crowding.

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Cited by 2 publications
(4 citation statements)
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“…Malocclusions with ectopically erupted canines are typically dealt with through all four first premolar extractions. [3][4][5][6][7][8][9] The decision regarding the extraction or non-extraction treatment plan is based on the amount of arch-length tooth material discrepancy and the facial profile of the patient. According to Proffit and Fields, teeth length arch period discrepancies beneath four mm teeth extraction are hardly ever required, while discrepancies between five mm and nine mm permit remedy to be achieved without or with extractions, relying on the traits of the patient.…”
Section: Discussionmentioning
confidence: 99%
“…Malocclusions with ectopically erupted canines are typically dealt with through all four first premolar extractions. [3][4][5][6][7][8][9] The decision regarding the extraction or non-extraction treatment plan is based on the amount of arch-length tooth material discrepancy and the facial profile of the patient. According to Proffit and Fields, teeth length arch period discrepancies beneath four mm teeth extraction are hardly ever required, while discrepancies between five mm and nine mm permit remedy to be achieved without or with extractions, relying on the traits of the patient.…”
Section: Discussionmentioning
confidence: 99%
“…The degree of severity and treatment requirements of AC was categorized as follows: a) scale 1 to 4 showed the condition of the teeth arrangement with good aesthetics or mild abnormalities; therefore, it required minor or no treatment, b) scale 5 to 7 showed the state of aesthetic tooth structure which required borderline or moderate treatment, and c) scale 8 to 10 showed the poor aesthetic condition of the teeth; therefore, it required treatment. 1 13…”
Section: Methodsmentioning
confidence: 99%
“…15 The degree of severity and treatment requirements of AC was categorized as follows: a) scale 1 to 4 showed the condition of the teeth arrangement with good aesthetics or mild abnormalities; therefore, it required minor or no treatment, b) scale 5 to 7 showed the state of aesthetic tooth structure which required borderline or moderate treatment, and c) scale 8 to 10 showed the poor aesthetic condition of the teeth; therefore, it required treatment. 1,13 In this research, data was examined and scored according to the indices of IOTN, which consisted of two components, DHC and AC, respectively. The most severe scores were analyzed descriptively, and their percentages were calculated using frequency distribution.…”
Section: Study Subject and Designmentioning
confidence: 99%
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