Orthotown November 2017 - 25

anteriors. With Class III elastics, you might be able to help this patient. I assume surgery is out
of the question. ■
9/5/2017

HJS

The patient and her mom don't accept surgical option. ■
9/5/2017

Member Since: 01/07/06
Post: 3 of 12

Sláinte

Do you have access to any pretreatment records? ■

9/5/2017

Member Since: 07/30/09
Post: 4 of 12

HJS

Unfortunately, no. ■
9/6/2017

Advance the upper incisors to resolve the anterior crossbite and then rebond upper and lower
arches ... may need an extraction on the lower left. ■

Member Since: 01/07/06
Post: 5 of 12

Fenrisúlfr
Member Since: 02/25/09
Post: 6 of 12

9/6/2017

HJS

Which is better to extract? LL4 or LL6? ■
9/6/2017

Member Since: 01/07/06
Post: 7 of 12

Fenrisúlfr

No extractions until the arches are fully leveled and aligned and you have a solid CR. ■
9/6/2017

There is curve of Spee in the lower. If I don't extract, anterior crossbite will be exaggerated! ■
9/6/2017

Not if you advance the really detorqued upper incisors first and level the upper arch before
bonding the lower. There is likely an anterior slide due to what seems like upper incisors rabbited
back on round wire. ■

Member Since: 02/25/09
Post: 8 of 12

HJS
Member Since: 01/07/06
Post: 9 of 12

Fenrisúlfr
Member Since: 02/25/09
Post: 10 of 12

9/6/2017

HJS

Good idea. Thank you. ■
9/6/2017

Member Since: 01/07/06
Post: 11 of 12

Fenrisúlfr

Good luck. Should work out well, given the circumstances. ■
9/6/2017

Member Since: 02/25/09
Post: 12 of 12

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