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Controlled rotation and maxillary premolar extractions for the management of bilateral mandibular lateral incisor-canine fusion: A case report Cover

Controlled rotation and maxillary premolar extractions for the management of bilateral mandibular lateral incisor-canine fusion: A case report

Open Access
|Nov 2025

Figures & Tables

Figure 1.

Initial extra- and intra-oral clinical photographs.

Figure 2.

Pretreatment maxillary and mandibular study models.

Figure 3.

Pretreatment lateral cephalogram, panoramic radiograph, and tracing.

Table I.

Cephalometric measurements: pretreatment and post-treatment values compared with population norms

MeasurementPretreatmentPost-treatmentNormal
Skeletal
  SNA (°)83.5283.0281.08 ± 3.7
  ANB (°)4.364.042.46 ± 1.8
  SNB (°)79.1678.9779.17 ± 3.8
  Wits appraisal (mm)–0.170.21–0.33 ± 2.7
  Pog to N-Perp (°)–4.46–6.05–1.8 ± 2.5
  A to N-Perp (°)2.151.270.4 ± 2.3
  Gonial angle (°)129.07129.21124.31 ± 5.4
  FMA (°)33.8633.7725 ± 4
  Bjork sum (°)402.49402397.16 ± 3.6
Dental
  Cant of occlusal plane (°)8.518.219.3 ± 3.8
  Upper incisal display (mm)4.271.722.5 ± 1.5
  L1 to NB (°)31.4925.3325 ± 5
  L1 to NB (mm)9.316.174 ± 2
  U1 to NA (°)23.3515.8722 ± 5
  U1 to NA (mm)6.983.294 ± 3
  Interincisal angle (°)120.8134.75128 ± 5.3
  IMPA (°)89.8584.3590 ± 3.5
  U1 to SN (°)106.8798.89105.28 ± 6.6
  Overbite (mm)2.622.262 ± 2
  Overjet (mm)4.23.022 ± 2
Soft-tissue
  Nasolabial angle (°)86.45101.5895 ± 5
  Upper lip to E-plane (mm)1.44–2.030 ± 2
  Lower lip to E-plane (mm)2.29–0.710 ± 2

1 A, point A; ANB, angle between N–A and N–B; E-plane, esthetic plane (Prn-Pog’); FMA, Frankfort-mandibular plane angle; IMPA, incisor-mandibular plane angle; L1, mandibular central incisor; NA, nasion-point A; NB, nasion-point B lines; N-Perp, line perpendicular to nasion; Pog, pogonion; SN, Sella–Nasion plane; SNA, angle between S–N and N–A; SNB, angle between S–N and N–B; U1, maxillary central incisor.

Figure 4.

Clinical photographs after 13 months of treatment.

Figure 5.

Post-treatment extra- and intra-oral clinical photographs.

Figure 6.

Post-treatment maxillary and mandibular study models.

Figure 7.

Post-treatment lateral cephalogram, panoramic radiograph, and tracing.

Figure 8.

Superimposed pretreatment and post-treatment cephalometric tracings.

Figure 9.

Three-year retention intra-oral photographs.

DOI: https://doi.org/10.2478/aoj-2025-0037 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 357 - 368
Submitted on: Jul 1, 2025
Accepted on: Oct 1, 2025
Published on: Nov 10, 2025
Published by: Australian Society of Orthodontists Inc.
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Viet Anh Nguyen, Thuy Anh Nguyen, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution 4.0 License.