case_images: PMC10661858_01
case_images: Intraoral photos and X-ray of the initial clinical condition: front side, X-ray, upper and lower jaw, right side, and left side. The pointer indicates the position of the supernumerary tooth.
case_images: CRID2023-8824900.001.jpg
case_images: PMC10661858_01_CRID2023-8824900.001.jpg
case_images: fig1
case_images: In the first clinical examination, she was diagnosed with anterior and right posterior open bite and bilateral posterior crossbite (Figure 1).
case_images: Extraction of supernumerary paramolar and then germectomy of the upper right third molar and periodontal graft in the lower anterior segment.
case_images: CRID2023-8824900.002.jpg
case_images: PMC10661858_01_CRID2023-8824900.002.jpg
case_images: fig2
case_images: After that, a supervisory CBCT examination was performed, and extraction of 18 was done, combined with the gingival graft surgery in the lower anterior segment (Figure 2).
case_images: Follow-up of treatment stages: orthodontic traction of an impacted upper right second molar, rapid maxillary expansion, leveling of both dental arches, and normalization of occlusal relationships.
case_images: CRID2023-8824900.003.jpg
case_images: PMC10661858_01_CRID2023-8824900.003.jpg
case_images: fig3
case_images: The appliance was bonded to the distal teeth in the maxilla (Figure 3).
case_images: Intraoral photos and X-rays of the initial and finishing condition.
case_images: CRID2023-8824900.004.jpg
case_images: PMC10661858_01_CRID2023-8824900.004.jpg
case_images: fig4
case_images: With the extraction of the impacted and supernumerary teeth in the right maxillary segment, the eruption of 17 was stimulated and a change in the height of the alveolar bone was achieved (Figure 4).
case_images: Change in dental-alveolar and skeletal parameters.
case_images: CRID2023-8824900.005.jpg
case_images: PMC10661858_01_CRID2023-8824900.005.jpg
case_images: fig5
case_images: As a result of the orthodontic treatment, all dental-alveolar and skeletal parameters were improved (Figure 5).
case_images: Intraoral follow-up photos.
case_images: CRID2023-8824900.006.jpg
case_images: PMC10661858_01_CRID2023-8824900.006.jpg
case_images: fig6
case_images: The patient was followed up for two years during the retention phase (Figure 6).