Simultaneous Intrusion and Retraction of Maxillary Anterior Teeth in Class II Malocclusion Using the Kalra Simultaneous Intrusion and Retraction (K-SIR) Loop: A Case Report

The straight-wire device offers the best finishing potential and control. This case study focuses on the treatment of severe deep bite and Class II malocclusion involving first premolar extraction of the upper arch using a Kalra Simultaneous Intrusion and Retraction loop. Using minimal force and creating enough space for anterior teeth to retract while maintaining the Class II molar relationship was the aim of the therapy. Due to the unsightly excessive maxillary incisor showing at rest, the decision was made to intrude anterior teeth to treat a deep overbite. Good and consistent changes occurred post-treatment.