Orthotown November 2019 - 26

message board
zxzxzx
Member Since: 02/28/03
Post: 3 of 31

Fenrisúlfr
Member Since: 02/25/09
Post: 4 of 31

dhmjdds
Member Since: 11/16/04
Post: 6 of 31

Graft the LL1? ■
9/5/2019

After, if needed. ■
9/5/2019

This one is strangely similar to a case we treatment-planned today!
In our case, we plan to extract upper 7s and lower 8s, level the upper arch and intrude the
lower anteriors, then section the upper AW and use David's technique to correct the Class II.
This will be our first U7 extraction case in a very long time. I'm not too concerned about your
patient's LL1 gingiva. It's probably mostly traumatic occlusion, which you will be dealing with. ■
9/5/2019

fesdds
Member Since: 05/22/08
Post: 7 of 31

Possible RPE; would need to see the actual measurement compared to lower. It's non-ext more
than likely the rest of the time with Class II ELD. Just monitor for graft LL1. Most of the time,
once teeth are aligned in the arch, this will stabilize. Prepare the family, but would not send now. ■
9/5/2019

davidharnick
Member Since: 08/28/02
Post: 8 of 31

I think with this amount of lower crowding and cos, you will procline the lower incisors. I
would be thinking of IPR. I do so much Invisalign I've gotten used to doing the 3D simulation
with the exact IPR required. When I have a tooth like the LL1, I use MBT brackets, which have
6 degrees of labial root torque built in, so I flip that bracket to give lingual root torque.
Here is a case that is not as hard as yours that my daughter just completed. She started it in
her second month of private practice and it took exactly 18 months start to finish. Used HSD ...
Don't know where she learned that!! ■

9/5/2019

Watch this case develop online!
Visit the message board to see more ideas, or drop
your own knowledge to help out the OP. Go to
orthotown.com/magazine and find a link to this thread
among the message boards of the November issue.

26

NOVEMBER 2019 // orthotown.com


http://www.orthotown.com/magazine http://www.orthotown.com

Orthotown November 2019

Table of Contents for the Digital Edition of Orthotown November 2019

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