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All Journal Indonesian Journal of Orthodontics Case Report
Rasdiana Bakri
Hasanuddin University

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Extraction Premolar Unilateral to Correct Canine Class II Division ISubdivision - A Case Report Andi Iffah Syahamah; Rasdiana Bakri; Suhesti Suronoto; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Donald Ronald Nahusona
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract Objective: The purpose is to correct canine class II division 1 subdivision by extraction premolar unilateral. Case Description: A 22-years-old female came to the Hasanuddin University Dental Hospital Orthodontic Clinic with complaints about her crowded teeth and protrusion. Figure 1 showed pre-treatment photograph of extra and intraoral. On extraoral examination, patient had a convex profile, competent lips, and no TMJ abnormalities. On intraoral examination, patient had positive curve of spee, crowded teeth, midline of upper arch shifted 1 mm to the left and deep palate. The patient was treated with 0.022-in Standard Edgewise prescription bracket with extraction right upper premolar. After 36 months of treatment, canine right relationship become Class I, the midline of upper and lower in one line, overjet 3 mm and overbite 1.5 mm. Conclusion: The canine Class I relationship can be achieved by extraction unilateral premolar. The patient’s occlusion and smile aesthetics were significantly improved with normal and stable occlusion between maxillary and mandibular arch.
Orthodontic Treatment With Extraction in Moderate Crowding Using The Edgewise System - A Case Report Rasdiana Bakri; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Baharuddin M. Ranggang; Eka Erwansyah; Muhammad Kamil Nur
Indonesian Journal of Orthodontics Case Report Vol. 2 No. 2 (2025): Vol 2, Issue 2, December 2025
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract Introduction: Dental crowding is a common malocclusion resultingfrom a mismatch between tooth size and arch dimensions, with moderate forms frequently requiring orthodontic intervention. Fixed orthodontic appliances, particularly the edgewise system, offer controlled three-dimensional tooth movement and are widely used to manage space discrepancies. In cases where arch-tooth size imbalance is significant, premolar extraction may be indicated to create adequate space and achieve functional and esthetic improvement Case Report: A 23 years-old women came to RSGMP UH with chief complaint want to improve her teeth that were crowded . intraoral examination revealed class I canine and molar relationship, deep palate and 1 mm shift of the mandibular dental midline to the right. At the beginning of the treatment, four first premolars were extracted to correct moderate crowding and improve the facial profile. After that, edgewise bracket slot 0,22 was bonded. The next step was levelling and alignment procedure with multiple loops. Conclusion: The management of moderate crowding using the edgewise fixed orthodontic system with first premolar extractions proved effective in correcting dental irregularities, improving the facial profile, and establishing functional occlusion. Sequential leveling, alignment, space closure, and retraction sucesfully resolved crowding and midline deviation, leading to stable post-treatment results supported by appropriate retention
Co-Authors Andi Iffah Syahamah Ardiansyah S. Pawinru Donald Ronald Nahusona Eddy Heriyanto Habar Eka Erwansyah Muhammad Kamil Nur Ranggang, Baharuddin M. Suhesti Suronoto