Management of Class 2 Subdivision with Atypical Extraction and Unilateral Molar Distalisation: A Case Report

Management of Class 2 Subdivision with Atypical Extraction and Unilateral Molar Distalisation: A Case Report - In the past few years, there has been an increase in the percentage of non-extraction cases in the average orthodontic practice, which now stands as high as 80%. Mid-arch extractions can compromise facial esthetics, especially in patients with concave profiles. The treatment plan must allow for post-treatment facial growth, including the tendency for the nose and chin of young adults to grow more forward than their lips. Decision of extraction of permanent teeth should be based on sound diagnosis, and it should be evidence based. This is a case report of young male patient who had moderate crowding, anterior crossbites, with midlines shift and an unaesthetic smile. This case was treated with unilateral first premolar extractions by using a individual T loop along with pre-adjusted Edgewise appliance and distalisation of molar by mini screws. Keywords: Atypical Extraction, Assymetrical Extraction, Unilateral Premolar Extraction, Unilateral Molar Distalisation