Conclusion
This case report documents the management of a severely infraoccluded
primary molar, an impacted second premolar and a congenitally missing
premolar tooth which resulted in significant surgical and orthodontic
challenges. Comprehensive planning and careful orthodontic treatment,
including use of temporary anchorage devices (TADs), effectively
addressed the presenting malocclusion. Although this ambitious
orthodontic treatment did not attain an ideal occlusion, favourable
outcomes were achieved with respect to alveolar bone regeneration,
avoidance of future prosthodontic rehabilitation and spontaneous
mandibular third molar eruption.