Severe Crowding — Corrected with 4 Extractions
Well-matched jaws • Severe crowding • 4 premolars extracted • Fixed bracesWhat is it?
Here, the patient's upper and lower jaws were already well matched in size and position (a Class I bite) — the problem was simply not enough room for all the teeth, leading to severe crowding, twisting and overlap. To create space, four premolars were removed — one from each back corner, upper and lower — and braces were used to align the remaining teeth and close the spaces fully.
How we treat it:
- Full records — X-rays, photos & study models
- Extraction of 4 premolars — 2 upper, 2 lower — to relieve crowding
- Fixed braces — full arch alignment & space closure
- Retainers — fixed wire plus a clear retainer to hold the result
Lower Arch — The Biggest Change
BEFORE
AFTER
Upper Arch
BEFORE
AFTER
Frontal View
BEFORE
AFTER
A Note From Dr. Ajay
The finish here isn't textbook-perfect — the patient had to remove the braces earlier than planned and leave the country before treatment could be fully completed. Even with that, the result is a stable, functional bite with a real, significant improvement over where the patient started.
