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Class II Midline Discrepancy


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Female patient 23 years old.
Decalcification on the labial surface and midline discrepancy

Treatment Issues:
- Midline discrepancy

     
 
 
 
 
Class II
 
       
 
 
 
Moderate crowding and multiple rotations
 
       
 
 
 
Lower Jaw: 2 days following
extraction - 1st wire is 16x22
copper NiTi, not ligated in front
to prevent protrusion - chains for
distalization of first premolars
2nd wire 16x22 steel, chains for
the distalization of the frontal area
 
       
 
 
 
Upper jaw - 2 days after extraction
- 1st wire 16x22 copper NiTi,
not ligated in the front to prevent
protrusion - chains for distalization
of the canines.
2nd wire 16x22 stainless steel,
chains for space closure
 
       
 
 
 

Tooth 22 - no room to bond initially,
this tooth was bonded later after
adequate space was created

Using the screen shot as an aid
for the direct bonding
 
       
 
 
 
Upper jaw: 3rd wire is 17x25 titanium
niobium with steps for first premolars
Lower jaw - 3rd wire 18x25 copper
NiTi for finishing
 
       
 
 
 
Upper and lower jaw after debonding
 
       
 
 
 
Class I canine occlusion
 
       
 
 
 
View from behind
 
     
 

Midline is correct, Class I,
good alignment

Total treatment time: 16 months