Orthodontic Management of an Adult with Severe Spacing, Bimaxillary Proclination and a Supernumerary Tooth

Abstract

A report of the orthodontic treatment of a young adult female who presented with Angle’s class I malocclusion on skeletal
pattern 3, severe upper and lower anterior segment spacing, bimaxillary proclination and a supernumerary tooth as an
incidental finding. An 18-year-old female patient presented with the complaint of “too much spaces in her teeth”. Orthodontic
assessment revealed a case of Angle’s class I malocclusion on skeletal pattern 3 complicated by Increased overjet of 8mm,
proclined upper and lower central incisors, decreased overbite, severe upper arch spacing, moderate lower arch spacing,
incompetent lip seal. An unerupted supernumerary tooth was also identified in the lower right quadrant.
The treatment objectives were to extract the supernumerary tooth, correct the proclination of upper and lower incisors, correct
overjet and close spaces in the upper and lower arches. Her treatment was carried out with fixed appliances using Roth 0.022
prescription appliances and lasted for 24 months. The set out objectives for her treatment were achieved with a marked
improvement in the overall esthetic appearance of the patient. One-year post treatment, the patient was still on retention, has a
stable occlusion with no signs of relapse.