Introduction
Orthodontic treatment aims to achieve facial equilibrium and a balanced
relationship1 between teeth and underlying skeletal
structures for all malocclusions, especially in patients with dental
crowding.2 Rapid palatal expansion is becoming a
popular treatment option for all patients with crowding because it
allows predictable enhancement of dental arch perimeter3 rather than reduction of tooth
mass.4 Miniscrew-assisted rapid maxillary
expansion5 is an increasingly popular method for
stable6 orthopedic expansion in arch width, especially
in growing patients. Here, we describe an uncommon orthodontic approach
to treating a patient with severe crowding; instead of dental
extraction, treatment comprised increasing arch width and perimeter,
enhanced by using a state-of-the-art miniscrew-assisted rapid palatal
expander.