clinical orthodontics // message board Conclusion A couple of challenges I faced were maintaining bite opening (given the primary teeth and the metal occlusal surfaces) and fighting the crossbite. In retrospect, a fi xed bite plate would have been a great option and a lower 2x4 at the beginning (instead of 10 months into treatment) may have allowed for faster normalization of the OJ. Any other thoughts or comments are welcome. ■ 8/8/2016 smilesbylyle Member Since: 05/21/12 Post: 2 of 33 Fenrisúlfr Member Since: 02/25/09 Post: 3 of 33 straightmaker Member Since: 09/14/09 Post: 4 of 33 zxzxzx Member Since: 02/28/03 Post: 6 of 33 Fenrisúlfr Member Since: 02/25/09 Post: 7 of 33 Thanks for sharing! Could you get her ETE in CR? ■ 8/8/2016 Close, but not completely. Only the UL1 distal edge contacted in CR. ■ 8/8/2016 Great work, thanks for sharing. What a great service you provided the patient and her family. ■ 8/8/2016 I probably would have placed anterior turbos on the lingual of the lower 2-2. ■ 8/8/2016 I have seen that open the bite, but it sometimes proclines the lower incisors and leads to some wear of the uppers. ■ 8/8/2016 Billy Wonka Member Since: 08/31/08 Post: 8 of 33 Great-looking Phase 1 treatment and documentation! I have a time-travel machine and took the liberty of going forward in time a few years and was able to obtain the following observation photos on your patient when she'll be in early permanent dentition. Here they are: Just kidding of course. Here are the initial Phase 1 photos on this young fellow. It's a very similar case. Again, kudos to you! Don't be surprised if the parents decide not to pursue Phase 2 on your young lady. 8/8/2016 Continued on p. 22 20 OCTOBER 2016 // orthotown.comhttp://www.orthotown.com