MANAGEMENT OF A BORDERLINE EXTRACTION CASE OF A FEMALE PATIENT HAVING A MID FACE DEFICIENCY BY NON EXTRACTION PROTOCOL WITH PROXIMAL STRIPPING FOR PROFILE IMPROVEMENT AND SMILE ARC CORRECTION- A CASE REPORT

Class I malocclusion is one of the most common problems around the globe affecting around one-third of the patients who come for orthodontic treatment .This case report evaluates the management of Class I malocclusion with crowded dentition in a female patient have a retrognathic and deficient maxilla,with the help of proximal stripping of upper and lower anterior region followed by retraction and closure of spaces. This modality of treatment helped in camouflaging the prognathic looking dentition due to the underlying midface deficiency mwith the help of Proximal stripping stripping, thus eliminating the need for extractions to mask the defect . Clinical and cephalometric evaluation revealed skeletal Class I malocclusion with severe maxillary incisor proclination, concave to orthognathic facial profile, decreased mandibular plane angle, competent lips, increased overjet and overbite.Following fixed orthodontic treatment ,marked improvement in patient's smile and facial profile were achieved and there was a remarkable increase in the patient's confidence and quality of life The profile changes and treatment results were demonstrated with proper case selection and good patient cooperation with Fixed appliance therapy.