Pacific Coast Society of Orthodontists Bulletin Winter 2017 - 45

Case Report

Upon removal of the Twin Force Bite Corrector,
supplemental elastics were used to obtain final
occlusion. The patient was debonded after a total
of 26 months of treatment. She received a
mandibular fixed canine-to-canine retainer, as
well as maxillary and mandibular Essix retainers.
She was told to wear the Essix retainers full-time
for the first six months, and to then switch to
nighttime-only wear.
Treatment Results
Bilateral Class I canine and molar relationships
were achieved, with an improved overjet and
overbite. The crossbite was corrected and the
maxillary and mandibular crowding was
resolved. The curve of Spee was leveled and the
midlines were made coincident. The patient's soft
tissue profile and overall facial harmony was
improved, with greater lip projection relative to
the E-line.

Overall, the patient's maxillary molars were
moved distally and the mandibular molars were
slightly moved mesially. Her maxillary and
mandibular incisors were proclined to alleviate
crowding; proclination of her mandibular incisors
was minimized with the aid of the TADs for indirect anchorage. Her maxillary molars intruded
slightly from use of the Twin Force Bite Corrector,
and the mandibular molars extruded slightly
from the use of intermaxillary elastics.
The final panoramic radiograph shows that the
overall root alignment is parallel. The patient was
referred back to her general dentist for an evaluation to decide whether restorations on the maxillary central incisors should be redone for better
color match.

Final models

Winter 2017  PCSO Bulletin

45



Table of Contents for the Digital Edition of Pacific Coast Society of Orthodontists Bulletin Winter 2017

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Pacific Coast Society of Orthodontists Bulletin Winter 2017 - 45
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Pacific Coast Society of Orthodontists Bulletin Winter 2017 - 75
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