Pacific Coast Society of Orthodontists Bulletin Spring 2015 - (Page 46)
case report
Post-treatment
How would you treat
this malocclusion?
Case J.H. 64 years
TreaTmenT Plan
T
reatment option #2 (non-extraction, full fixed
appliances) was chosen. To facilitate leveling of
the mandibular arch, a plan was put in place to
bond the mandibular anterior teeth to ideal size prior
to bracket placement. In addition, fixed appliances
on the mandibular teeth were to be placed first, and a
maxillary biteplate retainer was to be worn full-time.
The intention was to improve arch coordination in the
posterior before bonding the upper arch, and to aid in
leveling the mandibular arch. The patient was informed
that the mandibular premolars could be compromised
during treatment due to the severe recession.
The patient was referred to his dentist for temporary
composite restorations on his mandibular incisors and
canines, with the goal of restoring them to their original
length. Immediately after completion of the temporary
restorations, fixed .022" Damon appliances (Ormco,
Orange, CA) were placed from mandibular second molar
to second molar, with the exception of the mandibular
left second premolar. A .014" CuNiTi wire was placed
from first molar to first molar and an active open coil
spring was utilized to open space for the blocked-out
mandibular left second premolar.
PROGRESS PHOTOS
RIGHT LATERAL
MAXILLARY OCCLUSAL
46
FRONTAL
LEFT LATERAL
MANDIBULAR OCCLUSAL
PCSO BULLETIN * SPRING
2015
Table of Contents for the Digital Edition of Pacific Coast Society of Orthodontists Bulletin Spring 2015
The Whole is Greater Than Its Parts
The Land of Opportunity
Donated Orthodontic Services Program — AAO-DOS
Trustee Report
AAO Council on Scientific Affairs (COSA) Report
Component Reports
AAOF Report
AAO Leaders Complete Terms in San Francisco: The End of an Era for PCSO
Preparing for the Unexpected: Your Emotional SOS Plan Part I
Resident Spotlight: Dr. Mona Afrand, Orthodontic Resident, University of Alberta Department of Orthodontics; Younger Member Spotlight: Dr. Mostafa Altalibi, Calgary, Canada
PCSO At A Glance
The AEODO Research Data Portal: Restructuring Workflow
The Aveolar Bone Housing — The Orthodontist’s World
Case Report Pre-Treatment
Smile and Appliance Esthetics — New Understandings
How to Remember Names and Places: A Dale Carnegie Program
The Latest Trends in Orthodontic Treatment: Part I
Training and Giving Feedback to The Clinical Staff to Ensure a Well-Tuned Team
Treatment Possibilities with Invisalign®
Class III Treatment: Timing and Protocol
Orthodontics: The Key to Successful Interdisciplinary Treatment
CBCT: Assessment of Anatomical Boundary Conditions Important to Orthodontists
Case Report Post-Treatment
Sectional Mechanics for Class II Correction
Dr. Donald Poulton
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