Video
Inital Exam
Diagnosis
- Slight Maxillary Deficiency A-P
- Class III Molar w/ Open Bite
- Posterior Bi-lateral Crossbite
- Anterior Open Bite
- Maxillary/Mandibular Crowding
Treatment Plan
- Non-Extraction
- Eliminate crossbite
- Broaden arches without expander
- correct class III open bite with elastics
- Posterior disarticulation of 6’s
- kaplan hooks off upper 5’s and 6’s
Inital Bonding
Torque Selection
Upper
- Low Torque Upper 2-2
- Because we will be using class III elastics, we want to prevent the upper incisors from flaring.
- High Torque Upper Left 3
Lower
As we retract the lower arch, the lower anteriors are going to want to dump in lingually.
- Lower 2-2- Regular Torque
- Regular Torque brackets should keep the lower incisors upright as we correct the bite.
- Lower 3s-High Torque
- Lower 4s & 5s(Torques not shown)- High Torque
- They look pretty dumped in.
Upper
.014 CuNiTi
Lower
.014 CuNiTi
Month 3
Wire Progression
Upper: .014×25 CuNiTi
Lower: 14×25 CuNi
Elastics
Parrot 5/16 2oz thru the bite class lll
Fox 5/16 2oz open face triangle
Month 5
Wire Progression
Upper: 14×25 CuNiti
Lower: 14×25 CuNiti
Elastics
Wires
Parrot 5/16 2oz thru the bite class lll
Fox 5/16 2oz open face triangle
Month 8 – Pano Repo
Wire Progression
Upper: 18×25 CuNiti
Lower: 18×25 CuNiti
Bracket Repo:
Repositioned Upper 3’s U1,s
Lower 1’s
Month 12
Wire Progression
Upper: 19×25 SS
Lower: 17×25 TMA
Elastics
U6-L4-Upper post Elastics
Moose 5/16 6oz
Comments
Added buccal crown torque in UR1
Month 16
Wire Progression
- Upper: 19×25 SS
UR1 distal root tip-
Step UL5 down
Step down UL3 - Lower: 17×25 TMA
Step up LR4
Elastics
U6-L4-Upper post Elastics
Moose 5/16 6oz
18 Months – Before & After
