Nonextraction Management of Severe Crowding in a Growing Patient with Borderline Malocclusion: Case Report.

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A borderline case presents with mild skeletal disharmony or orthodontic problems due to arch length discrepancy and migration of teeth or a combination of these but is masked by a balanced soft tissue relationship. This case report describes one such borderline case of a 13-year-old girl who complained of irregularly placed upper and lower front teeth. Extraoral examination revealed balanced soft tissue with a mild convex profile, competent lips, and an average nasolabial angle. Intraorally, she had mixed dentition with flush terminal in primary molars and a class I relation in the permanent molars, severe crowding in the lower anterior, and congenitally missing permanent right laterals. A nonextraction protocol was followed, harnessing the pubertal growth spurt to alleviate the crowding and thereby preserving the soft tissue harmony.

HOW TO CITE THIS ARTICLE

Rajan AS, Parameswaran R, Rajkumar B, Nonextraction Management of Severe Crowding in a Growing Patient with Borderline Malocclusion: Case Report. Int J Clin Pediatr Dent 2024;17(4):472-478.