Orthotown November 2023 - 41

Fig. 2
Fig. 4a
Case 1: 8-year, 3-month-old girl,
bonded RPE + facemask
This patient presented with concerns
of dental crowding and a narrow
upper jaw (Figs. 1a-1c). Our treatment
plan included a traditional bonded
RPE (Fig. 2) and a protraction facemask.
She was instructed to turn
the RPE once per day for a total of
40 turns (8 mm of expansion at the
screw) and to wear the facemask at
night with 400 g (14 ounces) force
per side. She completed the turns on
schedule and wore her facemask for a
total of 3.5 months (Figs. 3a-3c)
Her superimpositions (Figs. 4a-4c)
show that the transverse skeletal
changes (skeletal expansion) was
4.7 mm (2.35 mm per side) and her AP
skeletal change was 1.3 mm, which is
consistent with the expected changes
for the number of turns completed
and the amount of time the facemask
was worn.
Fig. 1a
Fig. 3a
Fig. 4b
Fig. 4c
Fig. 3b
Fig. 3c
Fig. 1b
Fig. 1c
NOVEMBER 2023 | 41 | ORTHOTOWN.COM
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Orthotown November 2023

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