American Journal of Educational Research
ISSN (Print): 2327-6126 ISSN (Online): 2327-6150 Website: Editor-in-chief: Ratko Pavlović
Open Access
Journal Browser
American Journal of Educational Research. 2021, 9(12), 725-729
DOI: 10.12691/education-9-12-5
Open AccessCase Report

Management of Dento-Maxillary Disharmony in Angle Class I malocclusion with Normobite: A Case Report

Amal EL AOUAME1, Lamia Bouchghel1, , Sanaa ALAMI1 and Farid EL QUARS1

1Orthodontics Department, University Hassan II, Faculty of Dentistry, Casablanca, Morocco

Pub. Date: December 12, 2021

Cite this paper:
Amal EL AOUAME, Lamia Bouchghel, Sanaa ALAMI and Farid EL QUARS. Management of Dento-Maxillary Disharmony in Angle Class I malocclusion with Normobite: A Case Report. American Journal of Educational Research. 2021; 9(12):725-729. doi: 10.12691/education-9-12-5


Dento-maxillary disharmony is a disproportion between the size or mesiodistal diameter of teeth and the perimeter of the corresponding alveolar arches. This case report describes the orthodontic treatment of a 17-year-old female patient with a normo occlusal class I malocclusion with a persistent temporary tooth. The goals were to maintain skeletal profile and Class I, eliminate crowding and correct tooth axis to achieve a bilateral Class I canine and maintain a bilateral Class I molar relationship, as well as to achieve adequate overbite and overjet, correct the midline, and achieve good balance and occlusal function.

class I malocclusion normobite dento maxillary disharmony management

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  S. Ongelina, I Bagus Narmada “Management of Dento-Maxillary Disharmony in Angle Class I Malocclusion with Anterior Crowding, Midline Shifting, and Deep Bite: A Case Report” Acta Medica Philippina VOL. 53 NO. 5 2019.
[2]  Bakh ES. Evaluation of Treatments Available for Class I, II and III Malocclusion in Children, Adolescents, and Adults. 2016. Available from:
[3]  Peter H. Buschang, “Class I malocclusions:The development and etiology of mandibular malalignments” Seminars in Orthodontics, Vol 20, No 1 (March), 2014: pp 3-15 3.
[4]  Sadowsky C, Sakols EI. “Long-term assessment of orthodontic relapse”. Am J Orthod. 1982; 82: 456-463.
[5]  L A Foster Page , W M. Thomson, A Jokovic, D Locker. “Validation of the child perceptions questionnaire (cpq11-14)”. J. Dent. Res. 2005, 84, 649-652.
[6]  Gherunpong, S, Tsakos, G, Sheiham, A. “The prevalence and severity of oral impacts on daily performances in thai primary school children” Health Qual. Life Outcomes 2004, 2, 57.
[7]  Abu-Hussein Muhamad. “Cleft Lip and Palate: Clinical Update”. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2019; 18(6): 60-65.
[8]  Abdulgani Azzaldeen, Nezar Watted, Abdulgani Mai, Péter Borbély, Muhamad Abu-Hussein. “Tooth Agenesis; Aetiological Factors”. Journal of Dental and Medical Sciences. 2017; 16(1): 75-85.
[9]  Pugaca, Jolanta, Urtane, Ilga, Liepa, Andra, Laurina, Z. – The relationship between the severity of malposition of the frontal teeth and periodontal health in age 15-21 and 35-44 – Stomatologija, Baltic Dental and Maxillofacial Journal, 2007, 3, 9: 86-90.
[10]  Puşcaşu, Cristina Gabriela, Dumitriu, Anca Silvia, Totolici, D., Dumitriu, H.T. “Study on dental crowding and gingival inflammation correlation in a group of youths” Oral Health and Dental Management in the Black Sea Countries, 2006; 2, V: 21-27.
[11]  Astrid Evrard, Michele Tepedino , Paolo M. Cattaneo, Marie A. Cornelis “Which factors influence orthodontists in their decision to extract? A questionnaire survey” J Clin Exp Dent. 2019; 11(5): e432-8. Factors influencing extractions.
[12]  S Kandasamy, MG Woods; Is orthodontic treatment without premolar extractions always non-extraction treatment? Australian Dental Journal 2005; 50: (3): 146-151.
[13]  J. C. Boley; J. P. Pontier; Stephanie Smith, Mark Fulbright, “Facial changes in extraction and nonextraction patients”; Angle Orthod. (1998) 68 (6): 539-546.
[14]  Yu Y, Sun J, Lai W, Wu T, Koshy S, Shi Z. “Interventions for managing relapse of the lower front teeth after orthodontic treatment”. Cochrane Database Syst Rev. 2013; 6: 1-20.
[15]  Declan T Millett, Susan J Cunningham, Kevin D O'Brien, Philip E Benson, Cesar M de Oliveira “Orthodontic treatment for deep bite and retroclined upper front teeth in children”, Cochrane Database Syst Rev, 2017 Oct 2; 10(10): CD005972.
[16]  Greg J. Huanga, Steven B. Batesb, Ambre A. Ehlertb, Dean P. Whitingb, Stephanie S.-H. Chenc, and Anne-Marie Bollena “Stability of deep-bite correction: A systematic review” J World Fed Orthod. 2012 September 1; 1(3): e89-e86.