Orthotown June 2019 - 16

message board

Interesting UR6
A patient with nearly ideal occlusion shows how even a small change might mean big treatment

dhmjdds
Member Since: 11/16/04
Post: 1 of 15

New patient with essentially an ideal occlusion, except UR6 is almost submerged. 14.5-year-old
male. Just got the older panorex, so I thought I would post both and get everyone's thoughts.
2014 (age 10):

Current (age 14):

No trauma history could be recalled. Look at how long the palatal root seems to be on UR6.
Could that be related? What do you think? ■
2/27/2019

justinudm
Member Since: 09/29/14
Post: 2 of 15

I don't know if the palatal root is causing this. Seems like it's likely ankylosed. I have seen
second molars with inverted J-hook-type roots that would not come down (similar to a fishhook) ...
but these roots look pretty straight to me? The way I see it, there are two ways to go:
1. Stay off UR6 and build up to full-size steel wire on the rest of the teeth, then bond UR6
and try to piggyback it down with NiTi wires. If you see a posterior open bite develop on
the right, it's ankylosed.
2. You take out the UR6 right away, move UR7 into first molar spot and let the UR8 erupt to
become the new second molar. ■
2/27/2019

dhmjdds
Member Since: 11/16/04
Post: 3 of 15

I'm most likely going to recommend Option 2. No ortho for a long time. UR7, although lower
than UR6, hasn't even broken through the gingiva. Probably delayed since the bone development
is screwed up by UR6. ■
2/27/2019

emac
Member Since: 11/21/11
Post: 4 of 15

Weird-I have never seen a 6 act that way. If you have it extracted, please post what the OMFS
says about the tooth. Good thing you had the previous X-ray, or else you would have thought
the 6 was just caught under the bi for some reason. That may have led to a bigger surprise when
you tried to bring it up. I think you are better off getting it out than trying heroics to get it in.
Hopefully the 7/8 will be normal. Good luck! ■
2/27/2019

16

JUNE 2019 // orthotown.com


http://www.orthotown.com

Orthotown June 2019

Table of Contents for the Digital Edition of Orthotown June 2019

Orthotown June 2019 - Cover1
Orthotown June 2019 - Cover2
Orthotown June 2019 - 1
Orthotown June 2019 - 2
Orthotown June 2019 - 3
Orthotown June 2019 - 4
Orthotown June 2019 - 5
Orthotown June 2019 - 6
Orthotown June 2019 - 7
Orthotown June 2019 - 8
Orthotown June 2019 - 9
Orthotown June 2019 - 10
Orthotown June 2019 - 11
Orthotown June 2019 - 12
Orthotown June 2019 - 13
Orthotown June 2019 - 14
Orthotown June 2019 - 15
Orthotown June 2019 - 16
Orthotown June 2019 - 17
Orthotown June 2019 - 18
Orthotown June 2019 - 19
Orthotown June 2019 - 20
Orthotown June 2019 - 21
Orthotown June 2019 - 22
Orthotown June 2019 - 23
Orthotown June 2019 - 24
Orthotown June 2019 - 25
Orthotown June 2019 - 26
Orthotown June 2019 - 27
Orthotown June 2019 - 28
Orthotown June 2019 - 29
Orthotown June 2019 - 30
Orthotown June 2019 - 31
Orthotown June 2019 - 32
Orthotown June 2019 - 33
Orthotown June 2019 - 34
Orthotown June 2019 - 35
Orthotown June 2019 - 36
Orthotown June 2019 - 37
Orthotown June 2019 - 38
Orthotown June 2019 - 39
Orthotown June 2019 - 40
Orthotown June 2019 - 41
Orthotown June 2019 - 42
Orthotown June 2019 - 43
Orthotown June 2019 - 44
Orthotown June 2019 - 45
Orthotown June 2019 - 46
Orthotown June 2019 - 47
Orthotown June 2019 - 48
Orthotown June 2019 - 49
Orthotown June 2019 - 50
Orthotown June 2019 - 51
Orthotown June 2019 - 52
Orthotown June 2019 - 53
Orthotown June 2019 - 54
Orthotown June 2019 - 55
Orthotown June 2019 - 56
Orthotown June 2019 - Cover3
Orthotown June 2019 - Cover4
https://www.nxtbook.com/farran/orthotown/2020November
https://www.nxtbook.com/farran/orthotown/2020October
https://www.nxtbook.com/farran/orthotown/2020September
https://www.nxtbook.com/farran/orthotown/2020JulyAugust
https://www.nxtbook.com/farran/orthotown/2020June
https://www.nxtbook.com/farran/orthotown/2020May
https://www.nxtbook.com/farran/orthotown/2020April
https://www.nxtbook.com/farran/orthotown/2020March
https://www.nxtbook.com/farran/orthotown/2020JanuaryFebruary
https://www.nxtbook.com/farran/orthotown/2019December
https://www.nxtbook.com/farran/orthotown/2019November
https://www.nxtbook.com/farran/orthotown/2019October
https://www.nxtbook.com/farran/orthotown/2019September
https://www.nxtbook.com/farran/orthotown/2019JulyAugust
https://www.nxtbook.com/farran/orthotown/2019June
https://www.nxtbook.com/farran/orthotown/2019May
https://www.nxtbook.com/farran/orthotown/2019April
https://www.nxtbook.com/farran/orthotown/2019March
https://www.nxtbook.com/farran/orthotown/2019JanFeb
https://www.nxtbook.com/farran/orthotown/2018December
https://www.nxtbook.com/farran/orthotown/2018November
https://www.nxtbook.com/farran/orthotown/2018October
https://www.nxtbook.com/farran/orthotown/2018September
https://www.nxtbook.com/farran/orthotown/2018August
https://www.nxtbook.com/farran/orthotown/2018June
https://www.nxtbook.com/farran/orthotown/2018May
https://www.nxtbook.com/farran/orthotown/2018April
https://www.nxtbook.com/farran/orthotown/2018March
https://www.nxtbook.com/farran/orthotown/2018February
https://www.nxtbook.com/farran/orthotown/2017December
https://www.nxtbook.com/farran/orthotown/2017November
https://www.nxtbook.com/farran/orthotown/2017October
https://www.nxtbook.com/farran/orthotown/2017September
https://www.nxtbook.com/farran/orthotown/August_2017
https://www.nxtbook.com/farran/orthotown/2017June
https://www.nxtbook.com/farran/orthotown/2017May
https://www.nxtbook.com/farran/orthotown/2017April
https://www.nxtbook.com/farran/orthotown/March2017
https://www.nxtbook.com/farran/orthotown/2017JanFeb
https://www.nxtbook.com/farran/orthotown/2016_December_Orthotown
https://www.nxtbook.com/farran/orthotown/2016November
https://www.nxtbook.com/farran/orthotown/2016October
https://www.nxtbook.com/farran/orthotown/2016september
https://www.nxtbook.com/farran/orthotown/2016august
https://www.nxtbook.com/farran/orthotown/2016june
https://www.nxtbook.com/farran/orthotown/2016may
https://www.nxtbook.com/farran/orthotown/2016april
https://www.nxtbook.com/farran/orthotown/2016march
https://www.nxtbook.com/farran/orthotown/2016february
https://www.nxtbook.com/farran/orthotown/2015december
https://www.nxtbook.com/farran/orthotown/2015november
https://www.nxtbook.com/farran/orthotown/2015october
https://www.nxtbook.com/farran/orthotown/2015september
https://www.nxtbook.com/farran/orthotown/2015august
https://www.nxtbook.com/farran/orthotown/2015june
https://www.nxtbook.com/farran/orthotown/2015may
https://www.nxtbook.com/farran/orthotown/2015april
https://www.nxtbook.com/farran/orthotown/2015march
https://www.nxtbook.com/farran/orthotown/2015february
https://www.nxtbook.com/farran/orthotown/2014december
https://www.nxtbook.com/farran/orthotown/2014november
https://www.nxtbook.com/farran/orthotown/2014october
https://www.nxtbook.com/farran/orthotown/2014september
https://www.nxtbook.com/farran/orthotown/2014august
https://www.nxtbook.com/farran/orthotown/2014june
https://www.nxtbook.com/farran/orthotown/2014may
https://www.nxtbook.com/farran/orthotown/2014april
https://www.nxtbook.com/farran/orthotown/march2014
https://www.nxtbook.com/farran/orthotown/2014february
https://www.nxtbook.com/farran/orthotown/2013december
https://www.nxtbook.com/farran/orthotown/2013november
https://www.nxtbook.com/farran/orthotown/2013october
https://www.nxtbook.com/farran/orthotown/2013september
https://www.nxtbook.com/farran/orthotown/2013august
https://www.nxtbook.com/farran/orthotown/2013june
https://www.nxtbook.com/farran/orthotown/2013may
https://www.nxtbook.com/farran/orthotown/2013april
https://www.nxtbook.com/farran/orthotown/2013march
https://www.nxtbook.com/farran/orthotown/2013janfeb
https://www.nxtbook.com/farran/orthotown/2012december
https://www.nxtbook.com/farran/orthotown/2012november
https://www.nxtbook.com/farran/orthotown/2012october
https://www.nxtbookmedia.com