Orthodontic Correction of Transposition in Teeth 22 And 23 Using The Edgewise Technique: A Clinical Case Study

Abstract

Abstract
Introduction: Tooth transposition is a rare dental anomaly where two adjacent teeth switch positions within the dental arch. It most commonly involves the maxillary canines and lateral incisors or premolars. The main objectives was to provide valuable insights into the effectiveness of the Edgewise technique in managing tooth transposition and contribute to the development of more refined orthodontic treatment approaches. Case Report: The patient is a 27-year-old male presenting with a Class I dentoskeletal malocclusion, characterized by prognathic maxilla and mandible. His intraoral examination revealed dental types 1, 2, and 3, with the maxillary and mandibular arches exhibiting significant crowding. The patient had a prominent convex facial profile, contributing to facial asymmetry. His primary complaint includes misaligned and chipped anterior teeth, specifically the upper front teeth, which have gaps and are not arranged neatly. The treatment was carried out with a multiloop edgewise technique, starting with extraction of teeth 14, 24, 44 and 35, levelling and aligning the maxillary and mandibular arch. Followed Space opening for tooth 22 in the maxillary arch, distalization of canina, and En-masse retraction of the four maxillary and mandibula incisors. Conclusion: Orthodontic treatment using the Multiloop edgewise technique was successfully addressed both aesthetic andfunctional concerns, particularly the transposition of teeth 22 and 23.