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Multiple diastema is a gap or space between the teeth and can occur in the maxillary and mandibular. Anterior diastema often causes aesthetic disturbances. The two-steps anterior retraction technique is performed by initially pulling the canines followed by the retraction of the four anterior teeth. This case report was aimed to describe the management of the maxillary and mandibular multiple diastema case using a two-steps anterior retraction technique, with the standard edgewise orthodontic treatment method. Case report: A female patient aged 24 years came to the Dental Specialist Education Clinics of Universitas Padjadjaran Dental Hospital with the chief complaint of loose maxillary and mandibular teeth. Six years prior, the patient had received initial orthodontic treatment with four premolar extractions, but was discontinued. This patient’s diagnosis was a dentoskeletal class I malocclusion with a convex facial profile, multiple diastema, and the mandibular teeth median line was shifted to the left. Cephalometry showed protrusive interincisal angles, with propositions of I-NA and I-NB distances. The orthodontic treatment was carried out for 18 months with standard edgewise fixed appliances. Retraction of canines was performed using powerchain after levelling and alignment. The treatment was continued with the second step, which was the anterior teeth retraction using a t-loop. This treatment was aimed to improve appearance, eliminate multiple diastema, reduce facial convexity, and creates good occlusion and stability. Conclusion: The two-step retraction technique with standard edgewise orthodontic treatment can provide good results in managing the maxillary and mandibular multiple diastema.

jurnal kedokteran gigi universitas padjadjaran

<p>Penutupan multiple diastema pada maksila dan mandibula menggunakan teknik retraksi anterior dua tahap dengan perawatan ortodonti standar edgewise</p><p>Closure of the maxillary and mandibular multiple diastema using two-step anterior retraction technique with standard edgewise orthodontic treatment</p>

Penutupan multiple diastema pada maksila dan mandibula menggunakan teknik retraksi anterior dua tahap dengan perawatan ortodonti standar edgewiseClosure of the maxillary and mandibular multiple diastema using two-step anterior retraction technique with standard edgewise orthodontic treatment

Penutupan multiple diastema pada maksila dan mandibula menggunakan teknik retraksi anterior dua tahap dengan perawatan ortodonti standar edgewise
Closure of the maxillary and mandibular multiple diastema using two-step anterior retraction technique with standard edgewise orthodontic treatment