Video Coming Soon
- Initial Exam
- Visit 1
- Visit 2
- Visit 3
- Visit 4
- Visit 5
- Visit 6
- Visit 7
- Visit 8
- Visit 9
- Visit 10
- Visit 11
- Visit 12
- Visit 13
- Visit 14/DEBOND
- Gingivectomie
- Final
Inital Exam
Chief Complaints
Alignment, Cosmetic, Left Jaw Pain
Diagnosis
Class 1 R/L, TMJ Botox injections recommended
Treatment Plan
Comprehensive treatment with U-Clear, L-SS brkts
Month 1
Wire Progression
Upper: .014 Â CuNiTi (Round)
Lower: .014 CuNiTi (Round)
Comments
- Went over brushing, flossing, and food list w/pt. NA: adj simple 10-12wks CM
Month 3
Wire Progression
Upper: .018 Â CuNiTi (Round)
Lower: .018 CuNiTi (Round)
Comments
Month 5
Wire Progression
Upper: 16×25 CuNiTi (Rectangular)
Lower: 16×25 CuNiTi (Rectangular)
Comments
Month 9
Wire Progression
Upper: 19×25 SS (Rectangular) ;Â Add Bracket Hooks at U3’s
Lower: 16×25 SS (Rectangular) ;Â Add Bracket Hooks at L3’s
Elastic Bands:Â Add Box L/R-Moose (Fulltime)
Comments
Month 10
Wire Progression
Upper: 19×25 SS (Rectangular)
Lower: 16×25 SS (Rectangular)
Elastic Bands: Remove All Elastic Band ;Â Add Moose at UR3-LR6 (Fulltime)
Add C-Chain at UL6-UR6-UL6,LR6-LL6-LR6-LL6-LR6 (Open, Over)
Comments
Month 11
Wire Progression
Upper: 19×25 SS (Rectangular)
Lower: 16×25 SS (Rectangular) ;Â Add Bracket Hooks at LL4,LR4
Elastic Bands :Â Add Moose at UL6-LL4-UL3-LL4,UR6-LR4-UR3-LR4 (Fulltime) ;Â Update Moose at UR3-LR6 (Nighttime)
Remove C-Chain at LR6-LL6-LR6-LL6-LR6,UL6-UR6-UL6 (Open, Over)
Comments
Month 13
Wire Progression
Upper: 19×25 SS (Rectangular)
Lower: 16×25 SS (Rectangular)
Elastic Bands:Â Remove Moose at UR6-LR4-UR3-LR4,UL6-LL4-UL3-LL4 ;Â Add Box Moose (Full-time, Left)
Comments
Month 15
Wire Progression
Upper: 19×25 SS (Rectangular)
Lower: 16×25 SS (Rectangular)
Elastic Bands :Â Add Moose at UL6-LL4-UL3-LL4,UR6-LR4-UR3-LR4 (Fulltime) ;Â Update Moose at UR3-LR6 (Nighttime)
Remove C-Chain at LR6-LL6-LR6-LL6-LR6,UL6-UR6-UL6 (Open, Over)
Comments
Dr. made no adj., we are working on cl II on right.
Month 16
Wire Progression
Upper: 19×25 SS (Rectangular) ;Â Remove Steel Tie at 3-3 (Figureeight, Over)
Lower: 16×25 SS (Rectangular) ;Â Remove Steel Tie at 3-3 (Figureeight, Over) ;Â Add Bend at LL2-LR2 (Lower, IntrusionStep)
Add C-Chain at UR6-UR6-UL6 (Closed, Under)
Add IPR at UR1-UL1 (Both, 0.1mm)
Comments
Month 17
Wire Progression
Upper: 19×25 SS (Rectangular) ;Â Add Steel Tie at UR3-UL3 (Braided, Over) ;Â Add Bend at UR2 (Upper, MesialOut)
Lower: 16×25 SS (Rectangular) ;Â Add Steel Tie at LL3-LR3 (Braided, Over) ;Â Remove Extrusion Step Bend [LR2]
Elastic Bands:Â Remove Moose at UR3-LR6 (Nighttime) ;Â Add Box (Moose) (Fulltime, Both)
Remove C-Chain at UR6-UR6-UL6 (Closed, Under)
Comments
Took lower perm impression.
Month 18
Wire Progression
Upper: 19×25 SS (Rectangular) ;Â Remove Steel Tie at UR3-UL3 (Braided, Over)
Lower: 16×25 SS (Rectangular)
Add C-Chain at UR6-UR6-UL6 (Closed, Under)
Comments
Pt came in for debond. Space in UR2-3 had not changed so I did not feel comfortable debonding and dad/mom had explained they saw the space too and agreed to wait until pt saw Dr. may need to adj bite for space to close.
Month 18
Wire Progression
Upper: 19×25 Â SS (Rectangular)
Lower: 16×25 SS (Rectangular)
Comments
Kept wires in place and cont RBs
L perm imp was already taken
Case Summary
Notice the increase in arch width and the beautiful smile arc. With the increase in arch width, notice that you don’t see as much gum tissue in the posterior!
The day I took her braces off, I handed her a mirror and invited her to look at her new smile. With tears in her eyes, she told me that she “got her smile back”. This is truly why we do what we do. We are here to change peoples’ lives and impact them for the better!