Ulfahardiati Bahar
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Orthodontic Management of Dentoskeletal Class I Malocclusion with Anterior Crossbite and Bimaxillary Crowding – A Case Report Ulfahardiati Bahar; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Baharuddin M. Ranggang
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Introduction: Dentoskeletal Class I malocclusion is a common skeletal pattern characterized by normal anteroposterior jaw relationship but often accompanied by dental discrepancies such as bimaxillary crowding and anterior crossbite. These discrepancies can result in edge-to-edge bite, insufficient overjet, and functional disturbances, indicating the need for orthodontic intervention. Case Report: A 30-year-old patient presented with uncomfortable biting and protrusive incisors. Clinical examination revealed crowding in both arches, edge-to-edge incisor relationship, and a single-tooth anterior crossbite involving teeth 11 and 41. Radiographs confirmed skeletal Class I malocclusion with dental Class I type 1. Treatment involved a non- extraction approach using 0.022-inch MBT straight-wire appliance with interproximal reduction in the lower anterior teeth to create space for alignment and overbite correction. Discussion: After 17 months of treatment, the occlusion was harmonized with proper cusp contacts, anterior crowding was resolved, overbite increased from 0.5 mm to 1.5 mm, and overjet from 0.5 mm to 1 mm. Radiographs confirmed stable root positions and improved sagittal relationships. Functional and aesthetic outcomes were achieved without extractions, demonstrating the effectiveness of non-extraction MBT treatment in Class I malocclusion with crowding and anterior crossbite. Conclusion: Non-extraction orthodontic treatment using MBT brackets effectively corrected bimaxillary crowding and single-tooth crossbite in a dentoskeletal Class I patient, achieving stable, functional, and aesthetic results within 17 months.
Orthodontic Management of Skeletal Class III Malocclusion with Transversal Discrepancy and Multiple Diastemas – A Case Report Ulfahardiati Bahar; Eka Erwansyah; Ardiansyah S. Pawinru
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 1 (2025): Vol 2, Issue 1, Juni 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Introduction: Skeletal Class III malocclusion is the least prevalent type of skeletal malocclusion. It is usually accompanied by transverse discrepancies, resulting in anterior crossbite, midline deviation and spacing issues. This indicates the need for orthodontic treatment. Case Report: An 18-year-old patient presented with a primary concern of spaces between their teeth and uneven teeth. Clinical examination showed upper and lower midline shifted to the right with inadequate overbite and overjet. A crossbite was identified, and microdontia resulted in multiple diastemas. Radiographic examination showed a skeletal Class III malocclusion. The treatment plan included the use of 0.022-inch MBT bracket system along with composite restoration for diastema closure. Discussion: The occlusion was corrected after 18 months of treatment and anterior crossbite and diastema were resolved, overbite and overjet were improved. Extraoral assessment also showed an increase in vertical dimension. Conclusion: The treatment successfully resolved patient’s issues of diastema and uneven occlusion using camouflage orthodontics method and composite resin restoration.