case presentation // feature
Introduction
A 34-year-old patient (Fig. 1) wanted to close the spaces between the front teeth and put an implant on the first upper bicuspid (Fig. 2). He didn’t want the braces to show so he came to the office for lingual braces.
F ig. 1
Diagnosis
The patient presented a challenging combination of circumstances, dental spaces, absence of the first upper bicuspid and overbite (Fig. 2).
Treatment
Lingual customized brackets and wires for upper and lower arch. In the order of the customized brackets we chose from cuspid to cuspid vertical slot .018 and from first bicuspids to second molars horizontal slot .018. We placed the turbo bite on the upper cuspids to help the overbite. Contact only existed on the front part where the bites were located so we had the opportunity of opening the bite since the beginning. On the setup we planned to keep the space for the implant on the first upper bicuspid (Fig. 3). Continuing with the adjustments we found that it was impossible to move the second upper bicuspid (Fig.4). We placed two TADs, one of them applying direct pressure to the
F ig. 4
F ig. 2
F ig. 3 F ig. 5
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OCTOBER 2012 // orthotown.com
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Table of Contents for the Digital Edition of Orthotown October 2012