Correcting Severe Crowding, a Crossbite and an Off-Center Midline With Extractions

This case had severe crowding, and the upper and lower midlines did not line up. One lower front tooth bit in front of the upper teeth (a crossbite), and the upper canines sat high in the gum. Dr. Natthanan Rujeerapaiboon (Dr. Gig) treated the case. She planned the extraction of 4 teeth to create space to correct the crowding. At the end of treatment the teeth were neatly aligned, the upper and lower midlines matched, and the patient’s smile looked noticeably better.