Nonextraction Management of Severe Crowding in a Growing Patient with Borderline Malocclusion: Case Report

A borderline case presents with mild skeletal disharmony or orthodontic problems due to arch length discrepancy and migration of teeth or a combination of these but is masked by a balanced soft tissue relationship. This case report describes one such borderline case of a 13-year-old girl who complai...

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Bibliographic Details
Published in:International journal of clinical pediatric dentistry 2024-04, Vol.17 (4), p.472-478
Main Authors: Vijayalakshmi, Devaki, Parameswaran, Ratna, Rajan, Ahana S, Rajkumar, Balaji
Format: Article
Language:English
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Case Report
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Summary:A borderline case presents with mild skeletal disharmony or orthodontic problems due to arch length discrepancy and migration of teeth or a combination of these but is masked by a balanced soft tissue relationship. This case report describes one such borderline case of a 13-year-old girl who complained of irregularly placed upper and lower front teeth. Extraoral examination revealed balanced soft tissue with a mild convex profile, competent lips, and an average nasolabial angle. Intraorally, she had mixed dentition with flush terminal in primary molars and a class I relation in the permanent molars, severe crowding in the lower anterior, and congenitally missing permanent right laterals. A nonextraction protocol was followed, harnessing the pubertal growth spurt to alleviate the crowding and thereby preserving the soft tissue harmony.
ISSN:0974-7052
0975-1904
DOI:10.5005/jp-journals-10005-2800