Protraction utility arch: A case series evaluating its efficacy in correcting retroclined upper central incisors

Abstract

Background: Retroclined upper central incisors are a common orthodontic concern, impacting aesthetics and oral function. Traditional treatment approaches often involve extraoral appliances or complex intraoral mechanics. The protraction utility arch presents a simpler, more patient-friendly alternative for correcting this malocclusion. Objective: This case series aimed to evaluate the clinical efficacy of the Protraction utility arch in achieving proclination of retroclined upper central incisors. Methods: The study included four patients presenting with retroclined upper central incisors. All patients were treated with a protraction utility arch appliance, and treatment progress was monitored through serial clinical examinations and radiographs. Results: The results demonstrated successful proclination of the upper central incisors in all cases. The PUA was found to be effective in achieving significant tooth movement with minimal patient discomfort and good patient compliance. This case series provides preliminary evidence suggesting that the Protraction utility arch is an effective and potentially valuable treatment option for correcting retroclined upper central incisors.