Orthodontic Management of Class I Crowding Malocclusion with Palatal Canine Impaction

A patient named A. A, age 16 years reported with a chief complaint of crowding in the upper front tooth region. After clinical and radiographic evaluation, the patient was diagnosed as a case of Angles Class I malocclusion overlying a Class I skeletal base with crowding of 16 mm in the upper arch and 11 mm in the lower arch with multiple impacted teeth. The treatment objective was to de-crowd the upper and lower dentition while restoring their alignment and attend to the impacted teeth. The treatment plan was to create adequate space by extraction of the upper and lower first premolars and use of contemporary orthodontic mechanics with the pre adjusted edgewise appliance to de-crowd and de-impact the displaced teeth. The case was finished with Class I molar and canine relation with normal overjet, overbite, and good overall facial esthetics