Pacific Coast Society of Orthodontists Bulletin Winter 2012 - (Page 53)

Case Report CEPHALOMETRIC MEASUREMENTS SNA SNB ANB U1-NA (deg) U1-NA (mm) L1 – NB (deg) L1 – NB (mm) MP – SN FMA FMIA IMPA INITIAL 77.4 71.9 5.5 29.3 6.5 17.3 3.7 52.4 35.2 71.9 73 FINAL 75.9 71.1 4.8 16.6 2.6 25.6 7.4 53 36.8 62.7 80.5 CHANGE - 1.5 - 0.8 - 0.7 -12.7 -3.9 + 8.3 + 3.7 + 0.6 + 1.6 - 9.2 + 7.5 MEAN 82 80 2 23 4mm 25 4mm 33 26 (25) 63 (64.8) 95 (90) EDITOR’S COMMENTS This case demonstrates quite nicely the dramatic improvements that can be accomplished with the use of skeletal anchorage and appropriate treatment mechanics. Dr. Pickard provided a great service for his patient with full correction of the openbite. Yes, if the patient opted for orthognathic surgery, a more esthetic facial outcome and ideal occlusal results may have been accomplished. However, as Dr. Pickard points out, we all face a decision to refuse to treat if the patient does not want to proceed with the ideal treatment plan or to try to get the best results given restrictions presented by the patient. In this case a functional occlusion was obtained and the patient was thrilled with the results. DR. MICHAEL PICKARD received his dental degree from the University of California at Los Angeles and went on to obtain his certificate in Orthodontics and a Master’s Degree in Science from Baylor College of Dentistry. Prior to dental school, he was a petroleum engineer, after completing a Bachelor’s Degree and Graduate Studies in Mechanical Engineering at BYU. He has served in the past as a trustee and president PCSO Bulletin Case Report Editor: Andrew Harner, DDS, MS (Huntington Beach, California) For Pre-Treatment of Case E. B., see page 29. of ASDA. He is a Diplomate of the American Board of Orthodontics and currently serves as a PCSO Director. He maintains private practices in Pullman, Washington, and Moscow, Idaho. He enjoys his time with his wife Kendra, and raising their four boys. Dr. Pickard W I N T E R 2 0 1 2 • P C S O B U L L E T I N 53

Table of Contents for the Digital Edition of Pacific Coast Society of Orthodontists Bulletin Winter 2012

Incremental Change
What a Time it Was!
AAO Trustee's Report
A need, A dream, A reality: A team approach produces an extraordinary outcome
PRECEDENT Orthodontists on Devices
The Complexities of Successful Herbst Treatment
Dr. Bryan Williams
Presentation Software
Treatment Planning: The Magic Step
Comprehensive Mixed Dentition Approach
Social Media 101 for Orthodontists
Update on Bonding 2012
Create the Future by Looking Back: 100 Years of PCSO
PCSO Business
Component Reports
AAOF Report
PCSO at a Glance
Case Report Pre-Treatment
Case Report Post-Treatment
In Memory

Pacific Coast Society of Orthodontists Bulletin Winter 2012