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Addressing Missing Permanent Premolars With Retained Deciduous Teeth: Orthodontic Solutions and Outcomes
Aathira Surendran1, Pallavi Daigavane1, Ranjit Kamble1
1Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus
|August 2, 2024
Summary
This case report details successful orthodontic treatment for a patient with retained deciduous teeth and Class I malocclusion. A non-extraction approach using fixed appliances and quad helix achieved excellent dental alignment and aesthetics.
Area of Science:
- Orthodontics
- Dentistry
Background:
- Retained deciduous teeth can complicate orthodontic treatment planning.
- Class I malocclusion with buccal crossbite presents specific alignment challenges.
Observation:
- A patient presented with a Class I malocclusion and buccal crossbite, complicated by the presence of retained deciduous teeth.
- Treatment aimed to correct malocclusion and align permanent dentition without extractions.
Findings:
- A non-extraction treatment plan utilizing fixed appliances and a quad helix appliance was implemented.
- The treatment successfully facilitated the alignment of permanent dentition.
- The patient achieved a harmonious occlusion, improved dental alignment, and enhanced aesthetics upon treatment completion.
Implications:
- This case demonstrates the feasibility of non-extraction orthodontic treatment in patients with retained deciduous teeth.
- Individualized treatment planning is crucial for managing complex orthodontic cases.
- Careful consideration of unique dental anatomy is essential for successful outcomes in orthodontics.
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