Pacific Coast Society of Orthodontists Bulletin Summer 2014 - (Page 39)

TADs Post-treatment Case Report How would you treat this malocclusion? Case O.Y. treatment Plan A fter consideration of the two treatment options, the patient chose Option 1: comprehensive orthodontic treatment with extraction of maxillary first premolars, and space closure with TADs. The patient selected this option because it addressed her chief concerns of straightening her front upper teeth and closing the spaces in the back. Additionally, mandibular molar protraction is a cost-effective treatment alternative, as it obviates the need for dental implants. treatment sequence The patient was referred to her general dentist for extraction of her maxillary first premolars. The maxillary teeth were bonded with a 0.022" self-ligating preadjusted edgewise appliance; the mandibular teeth were bonded with a 0.022" preadjusted edgewise appliance; and 0.016" NiTi archwires were placed. Eight months later, when the initial aligning and leveling procedures were completed, two TADs (1.8 mm x 8 mm) (Imtec, 3M Unitek, Monrovia, CA) were placed interdentally between the maxillary first molar and second premolar bilaterally. Retraction and intrusion of maxillary anterior teeth was initiated with NiTi open coil springs delivering 150g of force on each side. The open coil springs were engaged from the TADs to the hooks soldered between the lateral incisors and canines on the 0.019" x 0.025" stainless steel archwire. 1) Retraction of the maxillary incisors was delayed for four months in order to allow for restoration of a decayed maxillary left first molar. PROGRESS PHOTOS: 8 MONTHS OF TREATMENT RIGHT LATERAL MAXILLARY OCCLUSAL SUMMER 2014 * PCSO BULLETIN LEFT LATERAL FRONTAL MANDIBULAR OCCLUSAL 39

Table of Contents for the Digital Edition of Pacific Coast Society of Orthodontists Bulletin Summer 2014

The Big Easy: Not Always So Easy
About the PCSO Mission Statement
AAO Trustee Report
PCSO Business
AAO Council on Scientific Affairs (COSA) Report
Component Reports
PCSO at a Glance
AAOF Report
Decrease Stress and Increase Volume
Resident Spotlight: Loma Linda School of Dentistry Postgraduate Orthodontic Program
Younger Member Spotlight: Dr. Melissa Bailey
Third Molar Protocols
Editorial: Special Section
PCSO Program Talk: Orthodontic Residency Programs and the Use of TADs
Case Report: Pre-Treatment
Faculty Files: TADs in Orthodontics: A Review
Seasoned Practitioner's Corner: Dr. Terry McDonald Interviews Dr. Michael Chaffee on TADs
Case Report: Post-Treatment
Pearls of the Pacific: Instant Edentulous Anchorage
Portrait of a Professional: Dr. Earl S. Johnson
Sweet Farewell: Retainers and Retention
In Memory: Dr. Burton Littleton Fletcher

Pacific Coast Society of Orthodontists Bulletin Summer 2014