Inter-disciplinary approach in management of a case with anterior Bolton’s discrepancy. “A Case Report”

Abstract

The assessment of intermaxillary teeth width relationship is often overlooked during diagnosis and treatment planning of orthodontic patients. This is particularly true for individuals with no obvious teeth size discrepancy. Inter maxillary teeth size assessment is important for early detection of teeth size disproportion between upper and lower jaw. This allows formulation of the definitive treatment planning which may involve both restorative and orthodontic specialists.

The current work is reporting a case of 16 years old female patient who complained of multiple spaces on the upper front teeth following braces treatment. The patient had been on fixed orthodontic treatment for 2 years and 8 months without any significant improvement. Past treatment history revealed an initial diagnosis of Angle’s class I malocclusion with bimaxillary protrusion and lip incompetence, which was treated by fixed orthodontic treatment with extraction first pre molars on both jaws. Examination of the patient revealed multiple spaces on third sextant with reduced Bolton’s anterior ratio. In this case, a satisfactory occlusion was achieved by both orthodontic tooth movements and crown build up.