Orthodontic Treatment With Extraction in Moderate Crowding Using The Edgewise System - A Case Report

Abstract

Abstract

Introduction: Dental crowding is a common malocclusion resultingfrom a mismatch between tooth size and arch dimensions, with moderate forms frequently requiring orthodontic intervention. Fixed orthodontic appliances, particularly the edgewise system, offer controlled three-dimensional tooth movement and are widely used to manage space discrepancies. In cases where arch-tooth size imbalance is significant, premolar extraction may be indicated to create adequate space and achieve functional and esthetic improvement Case Report: A 23 years-old women came to RSGMP UH with chief complaint want to improve her teeth that were crowded . intraoral examination revealed class I canine and molar relationship, deep palate and 1 mm shift of the mandibular dental midline to the right. At the beginning of the treatment, four first premolars were extracted to correct moderate crowding and improve the facial profile. After that, edgewise bracket slot 0,22 was bonded. The next step was levelling and alignment procedure with multiple loops. Conclusion: The management of moderate crowding using the edgewise fixed orthodontic system with first premolar extractions proved effective in correcting dental irregularities, improving the facial profile, and establishing functional occlusion. Sequential leveling, alignment, space closure, and retraction sucesfully resolved crowding and midline deviation, leading to stable post-treatment results supported by appropriate retention