Orthotown September 2016 - 23

ndsgajda I would tell the parents that surgery is the only way to reliably get complete correction, and anything else would likely be a compromised result. That being said, after full informed consent, I would consider a plan to address the chief complaint of "crooked teeth." I don't think the bite will get a lot worse, but may not get much better. It's important in a compromise case to have a clear expectation of what is getting corrected and what is not. This doesn't preclude them from pursuing surgery at a later time. n Member Since: 01/16/11 Post: 2 of 4 6/28/2016 Would your imaging software allow you to "close the bite" and recalculate the Wits? Either way, unless the Wits was <-6mm, I think you are in the ballpark for nonsurgical treatment. The lower incisors are not reclined as in a typical Class III patientm, so you have that as an out to help deal with this nonsurgically. Treatment plan: zxzxzx Member Since: 02/28/03 Post: 3 of 4 1. Resolve the airway issue if there is one. If she is a mouth breather, find out why and what can be done. 2. Explain to Mom that most of the future growth will be unfavorable and you'd like to wait for most of her growth to be complete before you start. 3. If they want to do something now, OK. Expand with screws and line up the front teeth. If you can eliminate the mouth breathing, I might also use screws to reduce the vertical. That will reduce what has to be dealt with later. 4. When growth slows, extract the lower 7s or 8s and place buccal-shelf screws-sometimes called external oblique screws-and use Class I mechanics to correct the Class III. This will tip the molars distally and upright the incisors, but most important, it will rotate the occlusal plane down in back and up in front and help keep the bite closed while the Class III is corrected. n 6/28/2016 I think serial cephs taken a Fenrisúlfr year apart can help determine if, Member Since: 02/25/09 Post: 4 of 4 and how much, she is growing. Once growth has diminished, you can pursue more definitive options. At this stage, I'd recommend waiting and recall. n 6/28/2016 Join the discussion online at: orthotown.com Non Sx orthotown.com \\ SEPTEMBER 2016 23 http://www.orthotown.com/MessageBoard/thread.aspx?a=11&s=6&f=693&t=273904 http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown September 2016

Orthotown.com Highlights
Dental Hygiene— in an Orthodontic Practice?
Industry News
New Products
Monthly Poll: Bonding
Non-Sx. Plan for This Case?
A Winning Combination
Townie Talks: Transitions Q&A
Clinical Orthodontics: A Great Future in Plastics
Dolphin Imaging & Management Solutions
GORP 2016
Product Profile: Ormco
Orthotown September 2016 - Cover1
Orthotown September 2016 - Cover2
Orthotown September 2016 - 1
Orthotown September 2016 - 2
Orthotown September 2016 - 3
Orthotown September 2016 - 4
Orthotown September 2016 - 5
Orthotown September 2016 - Orthotown.com Highlights
Orthotown September 2016 - 7
Orthotown September 2016 - Dental Hygiene— in an Orthodontic Practice?
Orthotown September 2016 - 9
Orthotown September 2016 - 10
Orthotown September 2016 - 11
Orthotown September 2016 - Industry News
Orthotown September 2016 - 13
Orthotown September 2016 - New Products
Orthotown September 2016 - 15
Orthotown September 2016 - Monthly Poll: Bonding
Orthotown September 2016 - 17
Orthotown September 2016 - 18
Orthotown September 2016 - 19
Orthotown September 2016 - Non-Sx. Plan for This Case?
Orthotown September 2016 - 21
Orthotown September 2016 - 22
Orthotown September 2016 - 23
Orthotown September 2016 - A Winning Combination
Orthotown September 2016 - 25
Orthotown September 2016 - 26
Orthotown September 2016 - 27
Orthotown September 2016 - 28
Orthotown September 2016 - 29
Orthotown September 2016 - 30
Orthotown September 2016 - 31
Orthotown September 2016 - Townie Talks: Transitions Q&A
Orthotown September 2016 - 33
Orthotown September 2016 - 34
Orthotown September 2016 - 35
Orthotown September 2016 - 36
Orthotown September 2016 - 37
Orthotown September 2016 - Clinical Orthodontics: A Great Future in Plastics
Orthotown September 2016 - 39
Orthotown September 2016 - Dolphin Imaging & Management Solutions
Orthotown September 2016 - 41
Orthotown September 2016 - 42
Orthotown September 2016 - 43
Orthotown September 2016 - GORP 2016
Orthotown September 2016 - 45
Orthotown September 2016 - 46
Orthotown September 2016 - Product Profile: Ormco
Orthotown September 2016 - 48
Orthotown September 2016 - Cover3
Orthotown September 2016 - Cover4
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