A borderline case presents with mild skeletal disharmony or orthodontic problems due to arch length discrepancy and migration of teeth or a combination of these but is masked by a balanced soft tissue relationship. This case report describes one such borderline case of a 13-year-old girl who complained of irregularly placed upper and lower front teeth. Extraoral examination revealed balanced soft tissue with a mild convex profile, competent lips, and an average nasolabial angle. Intraorally, she had mixed dentition with flush terminal in primary molars and a class I relation in the permanent molars, severe crowding in the lower anterior, and congenitally missing permanent right laterals. A nonextraction protocol was followed, harnessing the pubertal growth spurt to alleviate the crowding and thereby preserving the soft tissue harmony.
How to cite this article: Rajan AS, Parameswaran R, Rajkumar B, et al. Nonextraction Management of Severe Crowding in a Growing Patient with Borderline Malocclusion: Case Report. Int J Clin Pediatr Dent 2024;17(4):472-478.
Keywords: Borderline; Case report; Crowding; Growing patient; Interceptive orthodontics; Nonextraction; Soft tissue harmony.
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