Patient with severe crowding: orthodontic management with Empower self-ligating brackets

Abstract

The case of a patient of 16 years 9 months of age whose chief complaint was «crooked teeth» with skeletal class II, hyperdivergent growth, bilateral molar class I, bilateral canine class II, severe maxillary and mandibular crowding and deviated midlines is hereby reported. The patient did not refer any habit. The treatment consisted in alignment, leveling, detailed and retention with the following appliances: 0.022” x 0.028” Roth prescription brackets. The active treatment time was 1 years 7 months. Thermoformed acetate retainers were placed in the upper and lower arches as well as fixed retainers from teeth #13-23 and 33-43. The treatment was successful obtaining bilateral canine and molar class I, normal overjet and overbite, matching dental midlines, good intercuspation and a harmonic facial profile.