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Clinical cases

Caso 24.- Giroversion of left upper central caused by  mesiodens in a 6 year old girl, with crossbite and mandibular laterodeviation to the left side.

Initial panoramic

Before

Treatment plan: 
1.- Extraction of deciduous teeth letting mesiodens to erupt. 2.- Extraction of  mesiodens. 3.-Correction of the crossbite and mandibular laterodesviation. Alignement of upper central teeth after eruption.
Appliances: 
1.- Hyrax upper screw with acrylic mandibular repositioning. 2.- Fixed upper appliances. 3.- Lower lip bumper.

 

8 months of treatment, correction of the lateral mandibular deviation and crossbite.
2 years & 5 months
End of treatment. 2 years & 9 months 
Final panoramic x-ray

 

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