Upper

• High Torque Upper 3’s
  • They look pretty dumped in.
• Low Torque upper 2-2
  • Because we are using class III mechanics, we want to avoid causing the upper teeth to flare forward

Lower

As we retract the lower arch, the lower anteriors are going to want to dump in lingually.

• Lower 2-2- Low Torque bracket reversed
  • This will keep the roots upright and the crowns upright and not just dump the crowns back or stick the roots out through the bone.
• Lower 3s-High Torque

Coil Springs

• I placed coil spring to make room for the upper cuspids. I only activate the spring by 1/2 a bracket length to keep the forces light.
• I also placed coil spring to make room for the LL2.

Upper

.014 CuNiTi

Lower

.013 CuNiTi

Wire Progression

Upper: .018 CuNiTi
Lower: .018 CuNiTi

Comments

Every visit I activate the coil spring by another 1/2 a bracket to continue to open up space.

Wire Progression

Upper: .014 CuNiTi
Lower: .018 CuNiTi

Comments

We’ve dropped a wire on the upper arch to pick up the cuspids (now that we have room for them to come in.)

Wire Progression

Upper: .016 CuNiTi
Lower: .018 CuNiTi

Wire Progression

Upper: .018 CuNiTi
Lower: .018 CuNiTi

More Activation of coil spring

Wire Progression

Upper: 14×25 CuNi
Lower: .014 CuNiTi

Engaged lower left 2

Wire Progression

Upper: 19×25 PT NiTi
Lower: 14×25 CuNi

Wire Progression

Upper: 19×25 PT CuNi
Lower: 18×25 CuNiTi

Bracket Repo:

UR1,2,3 LR3

Replaced UR 2 with High Torque Bracket

Wire Progression

Upper: 19×25 TMA
Lower: 17×25 TMA

Comments

I placed a sling under the upper anteriors to keep them from dumping in.

Wire Progression

Upper: 19×25 TMA
Lower: 17×25 TMA

Comments

Started the final hard tissue contouring at this visit

Wire Progression

Upper: 19×25 TMA
Lower: 17×25 TMA

Bracket Repo:

I adjusted the UL1, and stepped the LL2/3 up