Unilateral bijaw premolar extractions for correction of crowding, buccally placed canines and asymmetric dental midline - a case report

This case report is of a 22 year old male patient who presented with irregularly placed and crowded teeth in bothmaxillary and mandibular arch on the right side with both upper and lower dental midlines shifted to the patients right. This case was corrected non surgically merely by employing simple mechanics with the help of Fixed Orthodontic Mechanotherapy by extracting a single maxillary and mandibular 1st premolar of right side followed by retraction and closure of spaces with the help of Elastomeric chains. The case ended in a Class I Molar and canine relationship bilaterally. The case report emphasizes on the need for extracting 1st premolars only on 1 side in the upper and lower arch for the purpose of correcting the shifted dental midlines. The extractions also favour correction of crowding and buccally placed upper and lower canines on the right side. Following fixed orthodontic treatment, marked improvement in patients smile was achieved and there was a remarkable increase in the patients confidence and quality of lifeThe profile changes and treatment results were demonstrated with proper case selection and good patient cooperation with Fixed appliance therapy. The patient was extremely satisfied with the results at the end of treatment.