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Clinical cases

Ectopic eruption of a premolar on the palate side due to lack of space in a 12-yr-old girl.
Clinical diagnosis:  Cl II (R) subdiv Cl I (L). Maxillary midline deviation to the left side.  Straight profile.  Hypodontia of the 3rd molars.
Clinical diagnosis: Ectopic maxillary right second premolar.
Cephalometric diagnosis: ANB: 3. Bimaxillary protrusion. Mesiofacial. Wits: 0. < from sella: Cl II skeletal (more than 127 degreees).  Cranial base posterior to height of ramus: closed skeletal bite.  Posterior to anterior facial height: neutral growth.
Appliances:  Alexander .018 with Bagden type distalizing maxillary plate.  Expansion springs and midline elastics.
Duration of treatment: 20 months.


                                                              Before treatment


Lack of space for  #15 and hypodontia of lower and upper 3rd molars

Space obtained with distalizing plate of #17 and expansion spring between 16 and 14.  Elastic chain to bring  #15 into position.



After treatment



 

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