Clinica de Ortodoncia Dr. Arthur Nouel

Portal de ortodoncia y enfermedades de la boca

Maxillofacial surgery

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apartamentos

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Clinical cases #40

Ten yrs.-old patient with a Cl II molar relationship, maxillary dental protrusion, deep bite, lack of space for the maxillary canines and the mandibular first premolar on the left, as well as possible altered eruption of the mandibular second molars.
Treatment Plan:
1.Distalize the maxillary first molars
2. Make space for the maxillary canines
3. Make space for the mandibular premolars
4. Open the bite
5. Discover the second mandibular molars surgically, if and as indicated
Applicances:
1.- Head gear
2.- Alexander .018 Duration of treatment:30 months

Some cephalometric values:

          SNA:                   79
          SNB:                   74
          ANB:                    5
          < Facial:               84
          FH-Mandibular:   29
          SN-Mandibular:   38
          Goníaco:            125
          Interbasal:            32
          Eje Y:                  61
          1/ a Max.             77
          1\ a Mand.           95
          Wits:                      1

Results after 2 ½ years of treatment. The lower left second molar erupted spontaneously, only the right was surgically discovered and no mechanics were necessary to guide them into position, which they did so spontaneously