Management of an adult patient with severe crowding using lingual appliances and mini-screw anchorage: A case report

At present, more adult patients seek orthodontic treatment so orthodontists are more likely to face periodontal patients and esthetic appliance demand increases. This case report presents the management of an adult patient with mild periodontitis and severe crowding using lingual appliances and mini-screw anchorage. Interproximal stripping was performed to create space and correct the triangular tooth shape and gingival black triangles. Four mini-screws were implanted in the palatal alveolar bone and mandibular buccal shelf to distalize the entire upper and lower arch. According to the case report, interproximal stripping in combination with mini-screw-assisted entire arch distalization and lingual appliances may be an effective space-creation approach in patients treated with non-extraction way.