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Case Reports
. 2020 May 6;8(2):41.
doi: 10.3390/dj8020041.

A Full Diagnostic Process for the Orthodontic Treatment Strategy: A Documented Case Report

Antonino Lo Giudice  1 , Lorenzo Rustico  2 , Vincenzo Ronsivalle  1 , Paola Spinuzza  2 , Alessandro Polizzi  1 , Angela Mirea Bellocchio  2 , Simone Scapellato  1 , Marco Portelli  2 , Riccardo Nucera  2
Affiliations
Case Reports

A Full Diagnostic Process for the Orthodontic Treatment Strategy: A Documented Case Report

Antonino Lo Giudice et al. Dent J (Basel). .

Abstract

The need for extractions in orthodontic treatment has always been a controversial topic. However, to date there is not a specific clinical guideline that can help the clinicians deciding to plan an extractive or a non-extractive orthodontic treatment. In this respect, clinicians must deal with patients' occlusal, functional, periodontal and aesthetics characteristics before planning an orthodontic treatment including extraction. Considering the absence of specific guidelines, the choice to extract teeth or not is complicated, particularly in borderline cases. In this case report, we present a borderline case of a patient with the skeletal Class III pattern and significant crowding in both arches that could be treated with or without extraction, illustrating the diagnostic and decision-making processes that were conducted for the orthodontic treatment strategy.

Keywords: extraction; orthodontic treatment; periodontal health; relapse; self-ligating appliances.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Pretreatment extraoral photographs.
Figure 2
Figure 2
Pretreatment intraoral photographs.
Figure 3
Figure 3
Pretreatment digital casts.
Figure 4
Figure 4
Pretreatment orthopantomogram.
Figure 5
Figure 5
Pretreatment cephalometric analysis. (Value, Norm, Standard Deviation, Deviation Norm).
Figure 6
Figure 6
Post-treatment extraoral photographs.
Figure 7
Figure 7
Post-treatment intraoral photographs.
Figure 8
Figure 8
Post-treatment digital casts.
Figure 9
Figure 9
Post-treatment orthopantomogram.
Figure 10
Figure 10
Post-treatment cephalometric analysis. (Value, Norm, Standard Deviation, Deviation Norm).
Figure 11
Figure 11
Five-years follow-up, extraoral photographs.
Figure 12
Figure 12
Five-years follow-up, intraoral photographs.
See this image and copyright information in PMC

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