Non-Extraction Treatment of Severe Anterior Crowding with Unilateral Distalization

ABSTRACT

Introduction: Recent developments in mechanotherapy andchanges in concepts have reduced the need for extraction inseveral types of discrepancies.Case report This case report explains a non-extractiontreatment in a patient with severe anterior crowding with theuse of a modified Hilger’s Pendulum appliance. The patientshowed unilateral half unit Class II molar relation on theleft. The appliance was modified to cater to the treatmentneeds and activation was done unilaterally to achieve thedesired results. Post distalization, fixed orthodontic treatmentwas initiated and crowding was relieved with levelling andaligning.Conclusion: An ideal overjet and overbite along withmaintenance of the pleasing profile was achieved at the endof the treatment