Background: The severe individual rotation is a kind of malposition of tooth that interferes with smile esthetics and may cause occlusal interferences. Case Presentation: A 13-year-old girl with 90° rotation of the right central maxillary incisor and lack of space was referred to Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran. Firstly, a spring-designed appliance was used between the left central and right lateral incisors to make enough space. Thereafter, a fixed orthodontic appliance was utilized to correct the rotation of the tooth. Conclusion: The combination uses of fixed orthodontic and spring-designed appliances can successfully treat rotation of teeth.
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