Orthotown March 2023 - 33

dhmjdds
Post: 5 of 11
1/6/2023
They cannot afford crowns, but can afford ortho?
Hmm. Reminds me of a patient I have whose mom
decided to have his maxillary first permanent molar
extracted (so as not to pay for an endo), and then
paid for braces just a couple of months later. I did tell
her I really wished she had talked to me first about
prioritization. n
extraction space, making it no longer equivalent to
ext L4s?
Also, if I start with the ext L6s now, should I start
with serial extraction in the U arch now (Cs, then
Ds, then 4s)? And I must realize that he may never
be a candidate for ortho because of OH. n
Shwan
Post: 6 of 11
1/9/2023
I would definitely extract lower 6s and no other
sound tooth if it is an extraction case, and I would
argue this is the best time to do the extraction and
allow for some natural drifting for few months
before starting the treatment. n
Share which path you'd take!
What would you do in OP's shoes? To read
the latest posts in this thread, catch up on
the progress and add your two cents, head
to orthotown.com/magazine and find this
conversation under Message Boards.
whiskeyriver
Post: 7 of 11
1/9/2023
I agree with Shwan. Good a time as any to snatch
the lower 6s and take advantage of some physiological
drift of the lower 7s. Who knows what is under
those crowns; hypoplastic enamel, deep decay and
possible endo later? We know what happens or
does not happen after endo on the lower 6s. Save her
resources for ortho later. n
charlestonbraces
Post: 8 of 11
1/9/2023
A question for Whiskey River, Shwan and FesDDS.
If this is an extraction case-and from my memory,
I believe it is-would you worry that extracting the
L6s now would allow too much mesial drift while we
wait for the permanent dentition to fully erupt (or
him improve his OH)?
In other words, sometimes we extract bombedout
L6s instead of L4s in an extraction case because
it should end up close to the equivalent amount of
incisor unraveling or retraction. Would allowing
the L7s to drift too much eat up too much of the
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MARCH 2023 | 33 | ORTHOTOWN.COM
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Orthotown March 2023

Table of Contents for the Digital Edition of Orthotown March 2023

Orthotown March 2023 - Intro
Orthotown March 2023 - Cover1
Orthotown March 2023 - Cover2
Orthotown March 2023 - 1
Orthotown March 2023 - 2
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Orthotown March 2023 - Cover3
Orthotown March 2023 - Cover4
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