Orthotown August 2016 - (Page 22)

clinical orthodontics // message board Help with a Case Please A tricky case involving a bride-to-be who does not want bonding or veneers before her wedding day. Is this case asking for too much too quickly? Orthotown.com > Message Boards > Clinical Topic > Clinical Orthodontics > Help with a Case Please drorbach Member Since: 11/23/09 Post: 1 of 9 Introduction This patient is a 35-year-old female with a chief complaint of lower crowding. Bolton discrepancy with peg U2s, she doesn't want bonding or veneers on U2s, and would like to leave them as is. She is getting married next year and would like Invisalign if possible. I'm considering extracting LR4 and LL2. Is the plan completely ridiculous or would anyone else attempt to treat the case that way? With the Bolton discrepancy, I think a lower incisor extraction is pretty valid to minimize overjet. I typically avoid extracting lower laterals because I think the contact between a central and canine is not as ideal as a lateral and a canine but I think I can minimize the treatment time by taking out the LL2. Any other suggestions? Thank you. ■ Related Message Boards Treat Now or Wait for Surgical Readiness? Treat Now I Can't Decide on a Tx Plan Tx Plan 7/6/2016 braced4this Member Since: 06/01/10 Post: 2 of 9 I think your plan is reasonable, but I would look at extracting the LR5 instead of the 4. The reason for that is the LR4 is out of the arch and has a ton of tooth surface for the plastic to push against. I think closing the extraction space on the lower right would be easier by distalizing the LR4 because of how well the plastic will be able to encompass the tooth. If it were fi xed, then the LR4 would be a reasonable extraction. The LL2 extraction is OK Continued on p. 24 22 JULY / AUGUST 2016 // orthotown.com http://www.Orthotown.com http://www.orthotown.com/MessageBoard/thread.aspx?a=11&s=6&f=693&t=274577&g=1 http://www.orthotown.com/MessageBoard/thread.aspx?a=11&s=6&f=693&t=274667&g=1 http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown August 2016

Orthotown.com Highlights
Embrace Progress: So Just Whose Patient Is It?
Industry News
A Challenging Case, Need Any Advice Please
Help With a Case, Please
What’s On Your Tray? Tray for Bonding Brackets
Poll
Fantastic Voyage: Take a trip though the research and development process of orthodontic appliances
A New Dimension in Printing: A comprehensive look at 3-D printers
The Road to Greatness: Follow these fi ve steps to build an outstanding team
Townie Choice Awards Preview
New Products
CE: In for the Save: Applications of Manual Osteoperforation
Ad Index

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