Pacific Coast Society of Orthodontists Bulletin Winter 2014 - (Page 52)

case report Post-treatment How would you treat this malocclusion? Case A.P. 11 years, 10 months TreaTmenT Plan C ontrol of mechanics and vertical control of the dentition were critical in achieving our esthetic and functional goals for this patient. She refused to wear extra-oral traction and was vocal about her unwillingness to participate in her own treatment beyond making appointments and brushing her teeth. With these limitations in mind, options #2, 3, and 4 were viable. We chose option #4 (Non-extraction Class II correction using TADs) as the least intrusive from the patient's standpoint. Risks and benefits of the treatment were discussed with her parents and treatment began. TreaTmenT Sequence The remaining deciduous molars were removed and the maxillary and mandibular arches were bonded, leveled, and aligned using .022" slot MBT prescription brackets. The wire sequence for both the maxillary and mandibular arches was .016" and .018" CuNiTi. After five months, the second premolars had erupted sufficiently and were bonded. During leveling, the buccal segments were lightly laced with .008" stainless steel (SS) ligatures from the first molar to canine in the mandibular arch, and from first molar to first premolar in the maxillary arch. The maxillary midline was shifted using a coil spring on a .022" SS stopped tied-back round wire. Then the palatally positioned maxillary left canine was brought into the arch form with bonded buttons and power elastic against an .020" SS base arch with closed coil springs, which held the appropriate canine space. Progress records were taken to determine if the maxillary right canine needed to be exposed and bonded. It was determined that sufficient space had been created to allow for its eruption. PROGRESS PHOTOS - 10 MONTHS 52 PCSO BULLETIN * WINTER 2014

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

A Clear Message and a Clear Plan
So Much to Share and Celebrate!
Facebook and Orthodontic Practice Marketing
Component Reports
AAOF Report
PCSO At a Glance
Poor Posture = Back and Neck Pain
Resident Spotlight: Roseman University College of Dental Medicine, Postgraduate Orthodontic Program
Younger Member Spotlight: Dr. Mahbod Rashidi
The University of the Pacific’s Arthur A. Dugoni School of Dentistry
Dr. Terry McDonald Interviews Dr. Glenn Sameshima
New Technology for a New Office: Cost-Effective and Space-Saving
Case Report Pre-Treatment
Dr. Frank Beglin, PCSO President 2014-2015
Helping Autistic and Special Needs Children
Organization and Innovation are Intertwined
Patient Service: Thinking Outside the Box
Clinical Applications of TADs and Outcome Evaluations with 3-D CBCT Superimposition
Root Resorption
Tips and Tricks from the Trenches
Case Report Post-Treatment
Diastema-Closing Appliance
Dr. David Thomas Lawless

Pacific Coast Society of Orthodontists Bulletin Winter 2014