A 32-year-old male patient reported to my clinic with spaces between his upper teeth and forwardly placed incisors. maintenance of the Class I molar and canine relationship; 2. The treatment plan was accomplished using CAD/CAM technology (Fig. The treatment progress was recorded every month as shown in Figure 6.
The patient was diagnosed with a Class I malocclusion with a missing upper right lateral incisor, spacing in the upper arch, proclined upper and lower incisors, a midline shift owing to deviation of the upper midline 1 mm to the right side, and higher upper labial frenum attachment (Fig. creation of adequate space for the missing upper right lateral incisor; 3. During the first month, the upper right central incisor was moved mesially.
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In the second, third and fourth months, more mesial movement of the upper right central incisor occurred, as well as retraction of both upper and lower incisors.
In the fifth month, correction of the midline shift was achieved and a frenectomy was performed.
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