Mary’s Case Study

Video

Inital Exam

Chief Complaints
  • 3rd year dental student- We need to finish before she graduates.
  • She doesn’t like her flared teeth.
  • She is Bi-Maxillary Protrusive
  • Slight lip strain at rest
  • Upper lip protrudes out past lower lip
  • Asymmetric gingival display.
  • Triangle-shaped incisors
  • Oversized lower lateral incisors
  • Wants treatment without extractions
Treatment Plan
  • Treat non-extraction
  • Use variable torque brackets to de-torque anteriors and create a beautiful incisor position
  • Eliminate crowding by creating arch width and reshaping incisors.

Initial Setup

Torque Selection

Bracket Positioning

Upper
  • High torque on the 3’s- (they are slightly dumped in.)
  • Super Low torque on the upper 2-2
    • These are high torque brackets flipped upside down.
Lower
  • Low torque 2-2
  • Low torque LL3
  • High torque LR3

Month 11

Wire Progression

Upper: 19×25 SS
Lower: 17×25 PT

Comments

8th visit- Slenderized U/L 3-3, Added 15 degrees of lingual torque to upper wire. Added powerchain under the wire U/L 6-6.

Month 14

Wire Progression

Upper: 19×25 SS
Lower: 17×25 TMA

Comments:
  • 11th visit- Slenderized U/L 3-3 (again), Added 5 degrees of lingual torque to upper wire.

BeforeĀ  & After

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