Case Report

Nonsurgical Treatment of Class III Malocclusion with Both Anterior and Posterior Crossbites Combined with Impacted and Congenitally Missed Teeth

Table 2

Optimizing dental aesthetics when a maxillary canine is substituting for a lateral incisor and 1st premolar is substituting for a canine.

(i) Localized vital bleaching or veneering
(ii) Extrusion of canine and intrusion of first premolar for correct anterior marginal gingiva
(iii) Reshaping the tip of a canine by grinding or composite build up plus reduction of labial enamel
(iv) Applying palatal root torque for correct crown positioning and to reduce buccal prominence of the canine root. This can be achieved by inverting the bracket if a minor (−7°) torque prescription canine bracket is being used
(v) Also labial root torque on the first premolars to mimic the canines
(vi) Reducing the width of the canine
(vii) Increasing the length of the buccal cusp of the first premolar by composite build-up or veneering