{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:46:34Z","timestamp":1787071594043,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Functional asymmetry is often accompanied by a shift in the dental midline and a one-sided crossbite. In this context, occlusal disorders, such as malposition teeth or premature contact, can cause deviation. Therefore, a comprehensive evaluation is required to determine the etiology of asymmetry, distinguishing between dental and skeletal origin. This case report presented a 23-year-old woman with Class I malocclusion, mandibular dental arch midline shift, left-sided scissors bite, and transposition of upper left canine and first premolar (UL3\u2013UL4). Based on observations, upper right lateral incisor (UR2) teeth were peg-shaped. The treatment was administered using the Damon self-ligating system with asymmetric and one-sided cross-elastic. The results showed that the midline shift was corrected and the UR2 peg-shape was reshaped. However, the transposition teeth were not corrected purposely. Asymmetric mechanotherapy was applied, utilizing asymmetric elastic from the initial to the high wire phase, alongside one-sided cross-elastic. In this case, intermaxillary elastic often used symmetrically was formulated asymmetrically, marking a novel aspect of the treatment method.<\/jats:p>","DOI":"10.4103\/jos.jos_51_24","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T14:00:16Z","timestamp":1759154416000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Asymmetric mechanotherapy to treat functional asymmetry with peg-shaped and teeth transposition: A case report"],"prefix":"10.4103","volume":"14","author":[{"given":"Nadiya","family":"Fitriyani","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Purbiati","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9]]},"reference":[{"key":"R1-20250929","doi-asserted-by":"crossref","first-page":"659","DOI":"10.13005\/bpj\/764","article-title":"Understanding asymmetry-A review","volume":"8","author":"Anison","year":"2015","journal-title":"Biomed Pharmacol J"},{"key":"R2-20250929","first-page":"128","article-title":"Dentofacial asymmetries: Challenging diagnosis and treatment planning","volume":"7","author":"Agrawal","year":"2015","journal-title":"J Int Oral Heal"},{"key":"R3-20250929","first-page":"29","article-title":"Prevalensi asimetri fungsional pada murid SD Dan sltp tarsisius vireta tangerang usia 9 \u2013 16 tahun","volume":"15","author":"Kadharmestan","year":"2008","journal-title":"Indones J Dent"},{"key":"R4-20250929","first-page":"151","article-title":"Transposition of teeth: A forensic perspective","volume":"6","author":"Nambiar","year":"2014","journal-title":"J Forensic Dent Sci"},{"key":"R5-20250929","first-page":"1","article-title":"Prevalence of peg-shaped lateral incisors in non-syndromic subjects: A multi-population study","volume":"20","author":"Alhabib","year":"2020","journal-title":"Pesqui Bras Odontopediatria Clin Integr"},{"key":"R6-20250929","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/ccr3.5507","article-title":"Esthetic and functional rehabilitation of peg\u2010shaped maxillary lateral incisors: Practical recommendations","volume":"10","author":"Omeish","year":"2022","journal-title":"Clin Case Rep"},{"key":"R7-20250929","doi-asserted-by":"crossref","first-page":"44","DOI":"10.12968\/ortu.2008.1.2.44","article-title":"The aetiology, diagnosis, and management of denture stomatitis","volume":"1","author":"Chia","year":"2008","journal-title":"Orthod Update"},{"key":"R8-20250929","doi-asserted-by":"crossref","first-page":"49","DOI":"10.3126\/hren.v10i1.6008","article-title":"Elastics in orthodontics: A review","volume":"10","author":"Singh","year":"2012","journal-title":"Heal Renaiss"},{"key":"R9-20250929","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4236\/oalib.1109374","article-title":"Diagnosis and orthodontic management of transposition: A review","volume":"9","author":"Sahim","year":"2022","journal-title":"OALib"},{"key":"R10-20250929","doi-asserted-by":"crossref","first-page":"164","DOI":"10.4103\/0975-1475.195123","article-title":"Dracula tooth: A very rare case report of peg-shaped mandibular incisors","volume":"8","author":"Devasya","year":"2016","journal-title":"J Forensic Dent Sci"},{"key":"R11-20250929","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1590\/2177-6709.23.1.097-107.bbo","article-title":"Tooth transposition: A multidisciplinary approach","volume":"23","author":"Matsumoto","year":"2018","journal-title":"Dental Press J Orthod"}],"container-title":["Journal of Orthodontic Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jos.jos_51_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:49:07Z","timestamp":1787068147000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jos.jos_51_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jos.jos_51_24","relation":{},"ISSN":["2278-1897","2278-0203"],"issn-type":[{"value":"2278-1897","type":"print"},{"value":"2278-0203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2024-05-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-04","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}