# Deciphering the Mutilation: Skillful Orthodontic Treatment Using Temporary Anchorage Devices and Asymmetric Extractions for a Patient With a Knife-Edge Ridge

## TL;DR

This paper presents a case study showing how TADs and asymmetric extractions can effectively treat severe dental issues in adults.

## Contribution

The novel contribution is demonstrating a successful orthodontic approach using TADs for a patient with a knife-edge ridge and mutilated dentition.

## Key findings

- TADs enabled precise control of tooth movement in a complex case of dental mutilation.
- Asymmetric extractions combined with TADs restored both aesthetics and functional occlusion.
- The case highlights the effectiveness of TADs in managing severe malocclusion in adults.

## Abstract

One of the biggest challenges in orthodontic management of adult patients is the presence of mutilated dentition, which is characterized by severe tooth loss and subsequent tipping of adjacent teeth or extruding of antagonists, worsening the malocclusion. As they offer a solid anchor for intricate tooth movement, temporary anchorage devices (TADs) have proven invaluable to orthodontic treatment. In this case study, we highlight the importance of TADs in getting the best possible treatment outcomes while describing the effective management of a patient with mutilated dentition. TADs made it possible to control tooth movement precisely, restoring esthetics and functional occlusion. This case report emphasizes the value of TADs in contemporary orthodontic practice and shows their potential for correcting mutilated dentition.