Orthotown September 2016 - 29
feature \\ clinical orthodontics
maxillofacial radiologist; no active resorption
was noted. Two six-month serial CBCT
images of both condyles were captured and
evaluated for comparison with the baseline
image by the same maxillofacial radiologist;
again, no active resorption was noted.
This provided confidence that treatment
could be initiated without concern that
maxillomandibular relationships could
change with ongoing condyle resorption.
Treatment-planning
Using CS 3D Imaging simulation
software, I hovered the mouse pointer
over the buccal shelf of the mandible, as
well as the anterior palate, approximately
13mm from the gingival margin of the
upper incisors, and observed the relative
density value in the lower-right corner of
the screen (Figs. 10 and 11). I made note
of the values of these individual locations.
The buccal shelf represents probably the
Fig. 10
most dense area of bone for the individual
patient in the maxillomandibular complex.
The anterior palate and just off the midline
allows for assessment of palatal bone values
relative to the buccal shelf. With both of
these comparisons in mind, I assessed
the possible insertion sites at the direct
midpalatal suture at the midmesio/distal of
the upper first molars, versus the adjacent
paramedian locations from the simulated
insertion. I made a decision whether to
insert a single miniscrew for molar intrusion,
instead of two miniscrews at the adjacent
paramedian locations.
Treatment comparisons
In both cases, passive self-ligating brackets with standard anterior torque prescription
were placed. Quarter-inch, 2-ounce posterior
cross-elastics were used as needed from the
lingual of the upper molars to the labial of
the lower molars from the first archwire
Fig. 12
Density Value: 1594
Fig. 11
Fig. 13
Density Value: 956
orthotown.com \\ SEPTEMBER 2016
29
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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