The extraction of maxillary lateral incisors for the treatment of a Class II crowded malocclusion: a case report

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Australasian Orthodontic Journal

Australian Society of Orthodontists

Subject: Dentistry, Orthodontics & Medicine

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ISSN: 2207-7472
eISSN: 2207-7480

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VOLUME 31 , ISSUE 1 (May 2015) > List of articles

The extraction of maxillary lateral incisors for the treatment of a Class II crowded malocclusion: a case report

Heemanshu R. Dave / Vilas D. Samrit / Om Prakash Kharbanda *

Citation Information : Australasian Orthodontic Journal. Volume 31, Issue 1, Pages 107-115, DOI: https://doi.org/10.21307/aoj-2020-146

License : (CC BY 4.0)

Published Online: 15-August-2021

ARTICLE

ABSTRACT

Background: The extraction of an upper lateral incisor for orthodontic purposes is rare and must be adequately justified.

Aim: The present case report describes the management of a skeletal Class II crowded malocclusion that was facilitated by the extraction of upper lateral incisors and lower first premolars.

Methods: A 14-year-old male patient presented with a skeletal Class II crowded malocclusion with associated speech and chewing difficulties. Phase I of treatment involved the extraction of the upper lateral incisors and functional appliance therapy. Phase II included the extraction of lower first premolars and mechanotherapy using full fixed appliances.

Results: An improvement in aesthetics and sagittal relations was achieved during phase I therapy as the mandible was advanced over a period of eight months. Mandibular skeletal change was 6.5 mm observed at pogonion. During phase II therapy, the maxillary canines were substituted for lateral incisors and a functional occlusion was achieved. The skeletal correction and occlusion were stable one year after debonding.

Conclusion: The present case indicated that the timely extraction of palatally-placed maxillary lateral incisors facilitated functional appliance therapy in the management of a skeletal Class II problem. The crowding of the lower anterior teeth was relieved and alignment of the upper arch was achieved with full fixed appliance therapy, resulting in improved aesthetics and a stable occlusion at one year review.

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REFERENCES

1. Kharbanda OP, ed. Orthodontics: Diagnosis and management of malocclusion and dentofacial deformities. 2nd edn. India: Elsevier, 2013:3-17, 459.

2. McNamara JA Jr. Components of Class II malocclusion in children 8-10 years of age. Angle Orthod 1981;51:177-202.

3. Wadhawan N, Kumar S, Kharbanda OP, Duggal R, Sharma R. Temporomandibular joint adaptations following two-phase therapy: an MRI study. Orthod Craniofac Res 2008;11:235-50.

4. Baccetti T, Franchi L, Toth LR, McNamara JA Jr. Treatment timing for Twin-block therapy. Am J Orthod Dentofacial Orthop 2000;118:159-70.

5. Kokich VO Jr, Kinzer GA. Managing congenitally missing lateral incisors. Part I: Canine substitution. J Esthet Restor Dent 2005;17:5-10.

6. Tuverson DL. Orthodontic treatment using canines in place of missing maxillary lateral incisors. Am J Orthod 1970;58:109-27.

7. Zachrisson BU, Rosa M, Toreskog S. Congenitally missing maxillary lateral incisors: canine substitution. Point. Am J Orthod Dentofacial Orthop 2011;139:434, 436, 438 passim.

8. Tausche E, Harzer W. Treatment of a patient with Class II malocclusion, impacted maxillary canine with a dilacerated root, and peg-shaped lateral incisors. Am J Orthod Dentofacial Orthop 2008;133:762-70.

9. Shapira Y, Kuftinec MM. Tooth transpositions – a review of the literature and treatment considerations. Angle Orthod 1989;59:271-6.

10. Baccetti T, Franchi L, McNamara JA Jr. The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics. Semin Orthod 2005;11:119-29.

11. Franchi L, Pavoni C, Faltin K Jr, McNamara JA Jr, Cozza P. Longterm skeletal and dental effects and treatment timing for functional appliances in Class II malocclusion. Angle Orthod 2013;83:334-40.

12. Okamoto M, Takada K, Yasuda Y, Bishara S. Palatally displaced upper lateral incisors: relapse after orthodontic treatment and its correlation with dentoskeletal morphology. Clin Orthod Res 2000;3:173-81.

13. McNeill RW, Joondeph DR. Congenitally absent maxillary lateral incisors: treatment planning considerations. Angle Orthod 1973;43:24-9.

14. Ngan DC, Kharbanda OP, Darendeliler MA. Considerations in the management of transposed teeth. Aust Orthod J 2004;20:41-50.

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