case_images: PMC10756947_01
case_images: (A) Pre-treatment Intra oral Images of the patient. (B) Pre-treatment Extra Oral Images of the patient. (C) Pretreatment Xrays.
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case_images: No symptom of temporomandibular disorders was detected (Figure 1A,B). Both the upper and lower lips were in front of the E-line (Figure 1C).
case_images: Fixed orthodontic treatment progress.
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case_images: In the upper arch, the anterior segment was distalized using two mini screws, and in the lower arch, the retraction was carried out using a sliding technique with reverse curve 17 x 25 SS wire and power chains so as to control the tipping of the upper and lower incisors (Figure 2).
case_images: (A) Surgical grafting using subepithelial CTG. (B) Follow up after 2 weeks CTG. (C) Follow up after after 1 month.
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case_images: After a 1-month waiting period post debonding of the braces, gingival grafting was carried out using the subepithelial CTG technique (Connective tissue grafting tunnel technique) in the mandibular anterior region (Figure 3). The patient was recalled after 2 weeks, the sutures were removed, and the healing appeared normal (Figure 3B,C).
case_images: (A) Post-treatment Intra oral Images of the patient. (B) After restorations. (C) Extra oral pictures post treatment. (D) Post treatment X rays.
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case_images: These were also intended to help close the diastema and provide good retention for the three lower incisors (Figure 4A,B,C).