Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2022; 10(25): 9078-9086
Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.9078
Modified orthodontic treatment of substitution of canines by first premolars: A case report
Fang-Fei Li, Min Li, Meng Li, Xi Yang
Fang-Fei Li, Department of Stomatological, Stomatological Hospital of Chongqing Medical University, Chongqing 401147, China
Fang-Fei Li, Department of Stomatological, Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing 401147, China
Fang-Fei Li, Department of Stomatological, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing 401147, China
Min Li, Meng Li, Xi Yang, Department of Stomatology, Daping Hospital, Third Military Medical University (Army Military Medical University), Chongqing 400042, China
Author contributions: Yang X and Li FF do the treatment; Li M and Li M take the pictures; Li FF wrote the manuscript; all authors have read and approve the final manuscript.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: Yang X has received fees for serving as a speaker. Other authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xi Yang, Doctor, Chief Doctor, Department of Stomatology, Daping Hospital, Third Military Medical University (Army Military Medical University), No. 10 Daping Yangtze Branch Road, Yuzhong District, Chongqing 400042, China. 25873945@qq.com
Received: April 11, 2022
Peer-review started: April 11, 2022
First decision: June 16, 2022
Revised: June 28, 2022
Accepted: July 25, 2022
Article in press: July 25, 2022
Published online: September 6, 2022
Processing time: 137 Days and 6.3 Hours
Abstract
BACKGROUND

Canines are the most important teeth in the dentition. Usually, doctors choose to remove premolars rather than canines. Canine extraction is extremely rare in orthodontic treatment. However, dentists sometimes encounter situations in which canines require extraction due to defects caused by improper medical treatment.

CASE SUMMARY

The present study reports a case of a class II adult patient treated with the extraction of maxillary canines and right mandibular second premolar. After postactive treatment for 28 mo, then the canines were substituted by the upper first premolar, a satisfactory occlusal was established, the lips were competent, and the profile was improved. Intraoral pictures and X-ray data retrieved 3 years after the end of orthodontic treatment demonstrated the possibility of canine extraction and premolar substitution of canines in function and beauty.

CONCLUSION

The extraction of canines and substitution by first premolars could be a feasible orthodontic treatment.

Keywords: Orthodontic treatment; Canine extraction; Tooth substitution; Root resorption; Case report

Core Tip: A modified orthodontic treatment substitution of canines by first premolars, Unconventional orthodontic treatment programs eliminated the risk factors and uncertain results. It has very practical clinical significance.