Treatment of a Class I malocclusion with a ecarious mandibular incisor and no Bolton discrepancy?

Occasionally orthodontists must plan treatment for a patient with extensive caries or a traumatic injury to one mandibular incisor. If the patient has a Bolton discrepancy, one treatment option could involve extraction of the affected mandibular incisor, However, if the patient does not have a Bolton discrepancy and a mandibular incisor is extracted, the treatment becomes more complicated. This case report will present and discuss the ramifications of extracting one mandibular incisor in a patient without an anterior tooth-size discrepancy. The CDABO Student Case Selection Committee chose this case for publication.