Orthotown December 2020 - 33
Fig. 13
* Extract UR6. Implants UR6,
UR5, LL6, LR5.
* Final restorations.
The patient accepted this revised treatment plan and underwent provisionalization
with her dentist (Fig. 13).
Treatment steps
Norris 20/26 brackets were bonded to
the teeth in ac-cordance with the bracket
placement guide (dynaflex.com/norris2026),
and the patient underwent SFOT the next
day (Fig. 14). The following week, the
patient returned for placement of .014inch Norris Extra Broad NiTi arch wires
(Fig. 15). The patient returned for subsequent
appointments, during which our normal
archwire progression of .018-by-.018-inch
and .019-by-.025-inch Norris Extra Broad
NiTi wires were placed and lingual buttons
were bonded to the lingual of maxillary
molars so that crossbite elastics could be
worn (Fig. 16).
At nine months of treatment (Fig. 17),
the bilateral posterior crossbite showed
significant improvement, although much
of this improvement came at the cost of
buccal tipping of the maxillary arch and
lingual tipping of the mandibular arch.
At this point, I had just returned from
a MARPE (microimplant-assisted rapid
palatal expansion) course given by its creator,
Dr. Won Moon, and offered this new
procedure to the patient. Our treatment
goals were to get more skeletal expansion
of the maxilla, hopefully improve the nasal
airway, and allow orthodontic uprighting of
the mandibular arch. She agreed, and her
MARPE appliance was delivered (Fig. 18).
Fig. 14
Fig. 15
Fig. 16
Fig. 17
Fig. 18
orthotown.com \\ DECEMBER 2020
OT1220_Norris_Case-Study_MM.indd 33
33
11/24/20 12:54 PM
http://www.dynaflex.com/norris2026
http://www.orthotown.com
Orthotown December 2020
Table of Contents for the Digital Edition of Orthotown December 2020
Embrace Progress
Poll: Small Equipment and Supplies
Message Board: Class II Div 1 Deep Bite Teen Aligner Case
Message Board: Extraction Mx 6
Office Visit: Dr. Jason Battle
As Easy As 4, 5, 6
5 To Grow On
Ad Index
Continuing Education: Slop-py Work
Orthotown December 2020 - Cover1
Orthotown December 2020 - Cover2
Orthotown December 2020 - 1
Orthotown December 2020 - 2
Orthotown December 2020 - 3
Orthotown December 2020 - 4
Orthotown December 2020 - 5
Orthotown December 2020 - 6
Orthotown December 2020 - 7
Orthotown December 2020 - Embrace Progress
Orthotown December 2020 - 9
Orthotown December 2020 - 10
Orthotown December 2020 - 11
Orthotown December 2020 - Poll: Small Equipment and Supplies
Orthotown December 2020 - 13
Orthotown December 2020 - Message Board: Class II Div 1 Deep Bite Teen Aligner Case
Orthotown December 2020 - 15
Orthotown December 2020 - 16
Orthotown December 2020 - Message Board: Extraction Mx 6
Orthotown December 2020 - Office Visit: Dr. Jason Battle
Orthotown December 2020 - 19
Orthotown December 2020 - 20
Orthotown December 2020 - 21
Orthotown December 2020 - 22
Orthotown December 2020 - 23
Orthotown December 2020 - 24
Orthotown December 2020 - 25
Orthotown December 2020 - As Easy As 4, 5, 6
Orthotown December 2020 - 27
Orthotown December 2020 - 28
Orthotown December 2020 - 29
Orthotown December 2020 - 30
Orthotown December 2020 - 31
Orthotown December 2020 - 32
Orthotown December 2020 - 33
Orthotown December 2020 - 34
Orthotown December 2020 - 35
Orthotown December 2020 - 5 To Grow On
Orthotown December 2020 - 37
Orthotown December 2020 - 38
Orthotown December 2020 - 39
Orthotown December 2020 - 40
Orthotown December 2020 - Ad Index
Orthotown December 2020 - Continuing Education: Slop-py Work
Orthotown December 2020 - 43
Orthotown December 2020 - 44
Orthotown December 2020 - 45
Orthotown December 2020 - 46
Orthotown December 2020 - 47
Orthotown December 2020 - 48
Orthotown December 2020 - Cover3
Orthotown December 2020 - Cover4
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