Two-Step Extraction of the Lower First Molar for Class III Treatment in Adult Patient

Figure 3

(a) Panoramic X-ray showed integrity of the permanent teeth and absence of upper third molars; (b) cephalometric analysis showed a severe vertical pattern, convex profile, increased lower facial height, a slightly retruded maxilla in relation to the cranial base, and a well-positioned mandible. The upper incisors were in a good inclination while the lower incisors were uprighted; (c) endodontic lesion in tooth 36.

(a)

(b)

(c)