A 9-year-old male patient reported to the Department of Pedodontics and Preventive Dentistry with a chief complaint of irregular teeth in his upper front region of mouth since 7-8 months. On intraoral examination, it was noted that
1)a mesiodens w.r.t. 11,21;
2) Rotation w.r.t. 21,
3)Anterior crossbite w.r.t. 22,32
Treatment plan:
1)The extraction of mesiodens was done under L.A ..
2)Initially Acrylic turbos were given then replaced with GIC Turbos followed by 2 by 4 fixed mechanotherapy appliances
3)A palatal button was placed to derotate 21. A 2 weeks follow up showed desired results .
4) Orthodontic retainer was done lingually in the maintenance phase.