Case Report: Management of Angles Class I Malocclusion with Severe Crowding and Midline Shift

Abstract

A 12-year-old male who reported to the dental unit with his mother complained of teeth not well aligned and requested expert management. Clinical examination showed he had Angles class I malocclusion, ectopic 23, severe crowding in the upper and lower anterior segment, minor rotations in the upper and lower arch, an upper midline shift to the left by 3mm and a lower midline shift to the right by about 3mm, an increased overjet of about 5mm, and a 3mm overbite. Treatment involved the extraction of maxillary and mandibular first premolars to help relieve crowding and align ectopic canines, and to correct upper and lower midline shifts. Treatment was workable and simple within an active period of 24 months. The patient was very compliant and received a satisfactory occlusion and an attractive smile.