Asymmetric Extraction for Managing a Severely Crowded Malocclusion: A Case Report

The mandibular premolar impactions account for nearly 24% of all the dental impactions including the third molars. The literatureregarding the impactions of mandibular premolars is very limited although they are considered as the third most commonimpactions after all the third molars and maxillary canines. This case report describes the treatment of a Class I malocclusionhaving severe crowding in both the upper and lower arches, buccally placed maxillary canines and impacted mandibular rightsecond premolar with an asymmetric treatment approach in a young growing patient.