message board Skeletal Deep Bite with Lower Crowding A new case has the doc pondering the paths of either expansion with grafting, or extractions with appliances. Check out the treatment-planning help from Townies zxzxzx Member Since: 02/28/03 Post: 1 of 31 It has been a little slow around here, so here is a case from this a.m.: a 12-year-old who is 4´11˝ and mom is 5´2˝. Mom thinks there is some growth left and mom's CC is for her to have a nice smile. I think the lower crowding is significant along with a little bit of thin tissue on the LL1. Deep bite. Has a slight lisp. My possible treatment plans are: 1. Non-extract with self-ligation à la Damon. Expand everything. Graft the thin area. 2. Extract a LL1 and upper 5s (3) extract upper 7s, distal drive 6s with a Carriere to super Class I, then a Nance and Class III elastics with IPR to level the lower. What thinks you all? Thanks. Second question: As the bite improves, will the lisp worsen, stay the same or improve? Mom's question for me. ■ 9/5/2019 Fenrisúlfr Member Since: 02/25/09 Post: 2 of 31 24 I'd consider RPE to upright the lower buccal segments, level the lowers with a utility arch, followed by Class II ELS. ■ 9/5/2019 NOVEMBER 2019 // orthotown.comhttp://www.orthotown.com