Skip to main content Skip to main navigation menu Skip to site footer

Removable orthodontic appliance for extrusion of single upper anterior tooth and crowding lower anterior in adult: a case report


Objective: Supra-eruption maxillary incisor is a usual case that finding in dental practice. Over eruption of such tooth and crowding can lead for traumatic occlusion and functional disturbance. This case report presented patient 26-year-old female class I malocclusion with supra-eruption right central incisor maxillary caused of traumatic and anterior mandibular mild crowding. Methods: This treatment option indicated for orthodontic removable appliance due to small discrepancy. Interproximal enamel reduction as an alternative to solve the problem of mandibular negative space discrepancy. The simple modification in removable orthodontic appliance used with glass ionomer cement on labial surface of right central incisor maxillary. Malposition of lower teeth was corrected with modification of the Hawley appliance consisting of labial arch, adam clasp, and simple spring.Results: After 5 months 14 days treatment, supra-eruption right central incisor maxillary has corrected usage of removable orthodontic appliance with glass ionomer cement on labial surface. Anterior mandibular mild crowding has corrected with removable appliance. Conclusion: Successful orthodontic results with this treatment option will achieve by a careful diagnosis, establish with the aid of a diagnostic setup, professional skills, and patient cooperative.


  1. Heravi F, Bayani S, Madani AS, et al. Intrusion of supra-erupted molars using miniscrew: Clinical success and root resorption. Am J Orthod Dentofacial Orthop 2011;139: 170-175.
  2. Baheti MJ, Gharat NV, Toshniwal NG. Simple and cost-effective approach for maxillary bilateral posterior intusion: nandlal toshniwal rural dental college double intrusion arch. Apos Trends in Orthodontics 2015;5: 225-228.
  3. Zachrisson BU. Esthetic factors involved in anterior tooth display and the smile: vertical dimension. J Clin Orthod 1998;32: 432-445.
  4. Irwansyah, M, Erwansyah, E. Penilaian tingkat keberhasilan perawatan ortodontik dengan piranti lepasan berdasarkan indeks PAR. J Dentomaxillofac Sci 2011;10: 144-150.
  5. Bloom DR. Increasing occlusal vertical dimension-why, when, how. Br Dent J 2006;200: 251-256.
  6. Melsen, B, Agerbaek N, Markenstam G. Intrusion of incisor in adult patients with marginal bone loss. Am J Orthod Dentofac Orthop 1989;96: 232-241.
  7. Arici S. An easy way of intruding an upper central incisor. British Dent J 2004;197: 543-544.
  8. Kokich VO, Kokich VG, Kiyak HA. Perceptions of dental professionals and laypersons to altered dental esthetics: asymmetric and symmetric situation. Am J Orthod Dentofacial Orthop 2006;130: 141-151.
  9. Springer NC, Chang C, Fields HW, et al. Smile aesthetics from layperson’s perspective. Am J Orthod Dentofacial Orthop 2011;139: 91-101.
  10. Ker AJ, Chan R, Fields HW, et al. Aesthetics and smile characteristics from the layperson’s perspective: a computer-based survey study. J Am Dent Assoc 2008;139: 1318-1327.
  11. Betteridge MA. The effects of interdental stripping on the labial segments evaluated one year out of retention. Br J Orthod 1981;8: 1993-1997.
  12. Livas C, Jongsma AC, Ren Y. Enamel reduction techniques in orthodontics: a literature review. Open Dentist J 2013;7: 146-151.
  13. Stroud JL, English J, Buschang PH. Enamel thickness of the posterior dentition: its implication for nonextraction treatment. Angle Orthod 1998;68: 141-146.
  14. Zachrison BU, Minster L, Ogaard B, et al. Dental health assessed after interproximal enamel reduction: caries risk in posterior teeth. J Orthod Dentofacial Orthop 2011;139: 90-98.
  15. Harfin J, Urena AJ. Achieving clinical success in lingual orthodontic. New York: Springer; 2015. p. 47-58.
  16. Rao V, George AM, Sahu SK, et al. Surface roughness evaluation of enamel after various stripping methods by using profilometer. Arch Oral Sci Res 2011;1: 190-197.
  17. Frindel C. Clear thinking about interproximal stripping, J Dentofacial Anom Orthod 2010;13: 187-199.
  18. Jadhav S, Vattipelli S, Pavitra, M. Interproximal enamel reduction in comprehensive orthodontic treatment: a review. Indian J Stomatol 2011;2: 245-248.
  19. Gopal R, Tripath T, Rai P, et al. Esthetic Simultaneous Intrusion and Retention (E-SIR) Appliance. J Clin Diagnostic Res 2018;12: 16-17.
  20. Demir A, Babacan H, Nalcaci R, et al. Comparison of retention characteristics of essix and hawley retainers. Korean J Orthod 2012;42: 255-262.

How to Cite

Utomo, Z. A., & Suparwitri, S. (2020). Removable orthodontic appliance for extrusion of single upper anterior tooth and crowding lower anterior in adult: a case report. Journal of Dentomaxillofacial Science, 5(1), 66–68.




Search Panel