# Innovative Treatment Approach: Multiple Variability (MV) Loop Intervention for Angle Class I Malocclusion with Dewey's Type 2 Modification: A Case Report

## TL;DR

This case report presents a new orthodontic treatment method using MV loops to correct front tooth protrusion without extraction.

## Contribution

The paper introduces an innovative use of multiple variability (MV) loops for Angle Class I malocclusion treatment.

## Key findings

- MV loops effectively correct anterior protrusion in Angle Class I malocclusion.
- MV loops offer an alternative to traditional extraction therapy for protrusion correction.
- Smaller MV loops could improve patient compliance and reduce vestibular hindrance.

## Abstract

Proclination of anteriors is significantly found in developing malocclusions and affecting both aesthetics and function. In patients with protrusions or crowding, extraction therapy is often necessary. Orthodontic treatment is initiated with the extraction of maxillary first premolars to address the protrusions or crowding and achieve a harmonious occlusion. There are two ways to retract anteriors during extraction space closure: friction or frictionless. The present case report explains the innovative treatment approach for the correction of anterior protrusion using multiple variability (MV) loops. Even with the good efficiency of the MV loop, meticulous wire bending is one of the disadvantages of the loop, and it requires clinician skills. Smaller loop fabrication will be the future scope of the appliance to increase patient compliance toward the treatment using MV loop as it will cause less hindrance in the vestibular region.