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All Journal Indonesian Journal of Orthodontics Case Report
Desi Maya Putri
Hasanuddin University

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Orthodontic Management of Impacted Mandibular Second Premolar (Tooth 45) Using the Edgewise Technique – A Case Report Desi Maya Putri; Baharruddin M. Ranggang; Eddy Heriyanto Habar; Ardiansyah S. Pawinru; Donald Ronald Nahusona
Indonesian Journal of Orthodontics Case Report Vol. 3 No. 1 (2026): Vol 3, Issue 1, June 2026
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Abstract Introduction: Impacted teeth represent a common clinical challenge in orthodontic practice due to their potential to disrupt normal occlusion and oral function. Objective: This case report aims to present the orthodontic management of an impacted mandibular second premolar (tooth 45) using the Edgewise technique to restore proper alignment and functional occlusion. Case Report: A 14-year-old female presented with Class I dentoskeletal malocclusion, severe crowding in the mandibular arch, midline shift, and an impacted tooth 45. Extraoral examination revealed a convex facial profile with slight asymmetry. Treatment was conducted using the 0.022-inch Standard Edgewise system. Leveling and aligning were initiated using multiple loop stainless steel archwires. Space creation for tooth 45 was achieved using an open-coil spring combined with molar distalization and anterior flaring, followed by uprighting and traction of tooth 45 into the dental arch. Conclusion: Comprehensive orthodontic treatment using the Edgewise technique with open-coil mechanics successfully uprighted and aligned the impacted tooth 45, establishing a stable Class I canine and molar relationship with improved smile aesthetics.
Co-Authors Ardiansyah S. Pawinru Baharruddin M. Ranggang Donald Ronald Nahusona Eddy Heriyanto Habar