Orthotown October 2016 - 32


Fig. 5: 12 months after initial consultation-final panoramic radiograph

Maxilla
to Cranial Base

Initial
Values

Final
Values

SNA (degrees)

88.5

87.5

SNB (degrees)

81.0

81.2

SN-MP (degrees)

34.3

34.2

FMA (degrees)

25.3

25.9

7.5

6.3

U1-NA (mm)

3.9

3.0

U1-SN (degrees)

107.0

101.5

L1-NB (mm)

9.7

9.3

L1-MP (degrees)

98.7

110.1

Lower Lip to E-Plane (mm)

7.2

6.7

Upper Lip to E-Plane (mm)

5.5

5.1

Mandible
to Cranial Base

Maxillo-Mandible
ANB (degrees)

Maxillary Dentition

Mandibular Dentition

Soft Tissue

Table 2: Initial and final cephalometric values
and final cephalometric radiograph

Fig. 6: Two weeks after debonding-smile analysis and digital template

3. Once sufficient bite opening is
achieved, bond the lower arch.
4. Place bite-opening step-bends on the
maxillary arch and reverse curve of
Spee in the lower arch to decrease
the overbite and reduce the overjet as
required.
5. Use Class II elastics for overjet
reduction.
6. Place fixed lower retainers and deliver
overlay Hawley retainers (Perfect Finish
Laboratory, New Jersey) for retention.
7. Refer to the periodontology department for aesthetic gingivectomy and
osseous recontouring.

Progress
One year after initial: The patient
completed the orthodontic treatment as
prescribed in the above treatment plan.

32

OCTOBER 2016 // orthotown.com

She was also informed that because of the
slower rate of soft-tissue remodeling and the
intrusion mechanics on her upper anterior
dentition, her gingival display may increase
slightly more than before (Fig. 4, p. 30).
Postorthodontic treatment cephalometric
analyses showed an improvement in the
ANB angle, but a slight decrease in upper
incisor inclination and increase in lower
incisor inclination because of the overjet
reduction (Table 2).
The panoramic radiograph showed the
roots in acceptable alignment and no additional bone loss from the treatment (Fig. 5).
Two weeks after orthodontic debond:
The patient presented to the periodontology
department, where her smile was reanalyzed
and preoperative bone sounding was performed under local anesthesia.
It was determined that the patient had


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Table of Contents for the Digital Edition of Orthotown October 2016

Orthotown.com Highlights
Embrace Progress: What’s In Your Records?
New Products
Poll
Message Boards: HSD/Invisalign/Adult
Message Boards: Phase 1: Anterior Crossbite and Crowding
Interdisciplinary Ortho-Perio Treatment of Excessive Gingival Display
Creating a Strong Scheduling Architecture
Indirect Bonding: A Closer Look
Indirect Bonding: The Tech Effect
Welcome to Digital Orthodontics
Good Vibrations
Ad Index
Orthotown October 2016 - Cover1
Orthotown October 2016 - Cover2
Orthotown October 2016 - 1
Orthotown October 2016 - 2
Orthotown October 2016 - 3
Orthotown October 2016 - 4
Orthotown October 2016 - 5
Orthotown October 2016 - Orthotown.com Highlights
Orthotown October 2016 - 7
Orthotown October 2016 - Embrace Progress: What’s In Your Records?
Orthotown October 2016 - 9
Orthotown October 2016 - New Products
Orthotown October 2016 - 11
Orthotown October 2016 - Poll
Orthotown October 2016 - 13
Orthotown October 2016 - Message Boards: HSD/Invisalign/Adult
Orthotown October 2016 - 15
Orthotown October 2016 - 16
Orthotown October 2016 - 17
Orthotown October 2016 - Message Boards: Phase 1: Anterior Crossbite and Crowding
Orthotown October 2016 - 19
Orthotown October 2016 - 20
Orthotown October 2016 - 21
Orthotown October 2016 - 22
Orthotown October 2016 - 23
Orthotown October 2016 - 24
Orthotown October 2016 - 25
Orthotown October 2016 - 26
Orthotown October 2016 - 27
Orthotown October 2016 - Interdisciplinary Ortho-Perio Treatment of Excessive Gingival Display
Orthotown October 2016 - 29
Orthotown October 2016 - 30
Orthotown October 2016 - 31
Orthotown October 2016 - 32
Orthotown October 2016 - 33
Orthotown October 2016 - 34
Orthotown October 2016 - 35
Orthotown October 2016 - Creating a Strong Scheduling Architecture
Orthotown October 2016 - 37
Orthotown October 2016 - 38
Orthotown October 2016 - 39
Orthotown October 2016 - Indirect Bonding: A Closer Look
Orthotown October 2016 - 41
Orthotown October 2016 - 42
Orthotown October 2016 - 43
Orthotown October 2016 - Indirect Bonding: The Tech Effect
Orthotown October 2016 - 45
Orthotown October 2016 - 46
Orthotown October 2016 - 47
Orthotown October 2016 - 48
Orthotown October 2016 - 49
Orthotown October 2016 - Welcome to Digital Orthodontics
Orthotown October 2016 - 51
Orthotown October 2016 - 52
Orthotown October 2016 - 53
Orthotown October 2016 - Good Vibrations
Orthotown October 2016 - 55
Orthotown October 2016 - 56
Orthotown October 2016 - 57
Orthotown October 2016 - 58
Orthotown October 2016 - 59
Orthotown October 2016 - 60
Orthotown October 2016 - Cover4
Orthotown October 2016 - Ad Index
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