Non-extraction orthodontic treatment in a patient with severe anterior crowding

Authors : Abhishek Jain, Garima Jain, Madhuli Bhide, Pratibha Sharma, Janhavi Sapre, Ankita Ringane

DOI : 10.18231/j.jooo.2021.062

Volume : 7

Issue : 4

Year : 2021

Page No : 235-242

Introduction: A 12 years 6 months old Indian male presented with a chief complaint of irregular upper and lower front teeth. Patient exhibited a mild convex profile on Class l skeletal base with slightly decreased vertical proportions. This was complicated by severe upper and lower labial segment crowding. Also the molar relationship was half unit class ll bilaterally.
Description: Since the patient did not want to go for extraction of premolars, treatment involved use of Pendulum appliance along with upper and lower pre-adjusted edgewise appliance (0.022x0.028” slot) with MBT prescription. Various elastics and overlay wires were used along with proximal stripping for the correction of severe crowding in upper and lower anterior teeth.
Results and Conclusion: Clinically Angle’s Class I occlusion was achieved bilaterally with good intercuspal relationship. Vertical growth continued throughout the treatment.


Keywords: Distalization, Pendulum appliance, Non-extraction treatment.


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