Case report: adult Class I, constricted arches, crowding and impacted cuspid.

Abstract

The patient presented with constriction of both arches, moderate crowding and an unerupted and impacted maxillary cuspid. The Crozat appliance therapy efficiently developed the arches, reduced skeletal asymmetry on the sagittal plane, and distalized the upper left posteriors although this was aided by the removal of the second molar. Alignment and the development of a good functional occlusion was accomplished efficiently with the straight wire appliance. Facial balance and good lip support was maintained. No stripping was present and the periodontal health remains excellent. A significant improvement was made in the patient's smile. The teeth have been stabler during the two-year period following the initial placement of retainers. And the patient is very pleased with the treatment results.