case_images: PMC7585465_01
case_images: (a-h) Pretreatment extra-oral and intra-oral photographs
case_images: JOS-9-9-g001.jpg
case_images: PMC7585465_01_JOS-9-9-g001.jpg
case_images: F1
case_images: The lower midline is 2 mm shifted to the right to the upper midline [Figure 1].
case_images: (a-e) Pretreatment study model
case_images: JOS-9-9-g002.jpg
case_images: PMC7585465_01_JOS-9-9-g002.jpg
case_images: F2
case_images: Therefore, he had 1.7 mm posterior mandibular excess and average curve of Spee [Figure 2].
case_images: Pretreatment panoramic radiograph
case_images: JOS-9-9-g003.jpg
case_images: PMC7585465_01_JOS-9-9-g003.jpg
case_images: F3
case_images: The LR6 had poor root canal treatment and a comprehensive defective coronal restoration [Figure 3].
case_images: Pretreatment cephalometric radiograph
case_images: JOS-9-9-g004.jpg
case_images: PMC7585465_01_JOS-9-9-g004.jpg
case_images: F4
case_images: The analysis of lateral cephalometric X-ray and its tracing [Figures 4 and 5] showed that according to Sudanese's norms, the patient has a skeletal class III relationship (SNA = 76 , SNB = 75.9 , ANB = 0.1 ) that was confirmed by Wits appraisal (-2.6 mm).
case_images: Pretreatment cephalometric tracing
case_images: JOS-9-9-g005.jpg
case_images: PMC7585465_01_JOS-9-9-g005.jpg
case_images: F5
case_images: The analysis of lateral cephalometric X-ray and its tracing [Figures 4 and 5] showed that according to Sudanese's norms, the patient has a skeletal class III relationship (SNA = 76 , SNB = 75.9 , ANB = 0.1 ) that was confirmed by Wits appraisal (-2.6 mm).
case_images: (a-e) Upper and lower 0.014-inch nickel-titanium archwire (NiTi) and caninesae laceback, initial leveling and alignment
case_images: JOS-9-9-g006.jpg
case_images: PMC7585465_01_JOS-9-9-g006.jpg
case_images: F6
case_images: Initial leveling and alignment of the upper and lower teeth were performed using a round 0.014-inch nickel-titanium archwire (NiTi) and canines' laceback [Figure 6], followed by 0.016-inch NiTi and then 0.016 x 0.016-inch NiTi.
case_images: (a-e) Upper and lower 0.016 x 0.016-inch NiTi, couple force on lower right canine for derotation
case_images: JOS-9-9-g007.jpg
case_images: PMC7585465_01_JOS-9-9-g007.jpg
case_images: F7
case_images: During the leveling and alignment stage, placement of buccal and lingual buttons on the lower right canine to derotate it by applying a couple of force was performed [Figure 7].
case_images: (a-h) Posttreatment extra-oral and intra-oral photographs
case_images: JOS-9-9-g008.jpg
case_images: PMC7585465_01_JOS-9-9-g008.jpg
case_images: F8
case_images: Also, the results showed that the midline was corrected with optimum overjet and overbite [Figure 8].
case_images: Posttreatment panoramic radiograph
case_images: JOS-9-9-g009.jpg
case_images: PMC7585465_01_JOS-9-9-g009.jpg
case_images: F9
case_images: The final panoramic radiograph showed that the LR7 bodily protracted to occupy the space of the previously extracted LR6 [Figure 9].
case_images: Posttreatment cephalometric radiograph
case_images: JOS-9-9-g010.jpg
case_images: PMC7585465_01_JOS-9-9-g010.jpg
case_images: F10
case_images: The lateral cephalometric radiograph and the cephalometric tracing showed a remarkable incisor retroclination with a noticeable improvement in the overlying soft tissue of the face [Figures 10 and 11].
case_images: Posttreatment cephalometric tracing
case_images: JOS-9-9-g011.jpg
case_images: PMC7585465_01_JOS-9-9-g011.jpg
case_images: F11
case_images: The lateral cephalometric radiograph and the cephalometric tracing showed a remarkable incisor retroclination with a noticeable improvement in the overlying soft tissue of the face [Figures 10 and 11].
case_images: (a and b) Superimposition of the cephalometric tracing (Black: pre-treatment, Red: Post-treatment) a-Overall superimposition b-maxilla and mandible superimposition
case_images: JOS-9-9-g012.jpg
case_images: PMC7585465_01_JOS-9-9-g012.jpg
case_images: F12
case_images: The pretreatment and posttreatment lateral cephalometric superimposition radiograph confirmed the previous results [Figure 12].