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  • Ravi Kumar June 9, 2011 at 1:46am

    gr8 :)

    glad to be of help

  • tarik aouad June 8, 2011 at 6:20pm
    2647947207?profile=original2647947174?profile=original2647947048?profile=original2647947126?profile=original2647947001?profile=original
  • tarik aouad June 8, 2011 at 5:22pm

    for dr ravi kumar

    i used ur technic it gives results

    in 4 months see the results

    thanks for your help dr ravi kumar

  • tarik aouad April 29, 2011 at 4:44pm

    thanks dr 

    i already started treatment i distalized 27 at about 4mm now i'm distalizing 26 

    ahmed fawzy kassem said:

    i think you must not extract from the upper teeth itis already loss 2 premolars and you have cross bite , shift in midline . so you first expand the upper arch by hayrix with bite clearance  . 2- after expansion put open coil in the site where canine is out of ridge to gain space  and retract the right canine in spce distal to it and put open coil between u right 2nd premolar and first premolar to gain space her then put transpalatal  and retract the u 2nd and canine . the lower then extract the 2 first premolar  and level and align then put class III ELASTIC  to finish .
  • ahmed fawzy kassem April 29, 2011 at 4:40pm
    i think you must not extract from the upper teeth itis already loss 2 premolars and you have cross bite , shift in midline . so you first expand the upper arch by hayrix with bite clearance  . 2- after expansion put open coil in the site where canine is out of ridge to gain space  and retract the right canine in spce distal to it and put open coil between u right 2nd premolar and first premolar to gain space her then put transpalatal  and retract the u 2nd and canine . the lower then extract the 2 first premolar  and level and align then put class III ELASTIC  to finish .
  • tarik aouad January 25, 2011 at 8:19am
    i think so but how to distalized 27 26 it's not easy
  • Ravi Kumar January 24, 2011 at 5:50am

    Nice case presentation :)

    Probably patient chief complaint is crowding of the anteriors? Profile seems to be good so no change is warranted in the profile. Also, since the nose is already prominent, a change in profile will not look good. Our objective is to do the treatment without changing the profile. So here is my take on this -

     

    1. Extract 28 and go for Distalization of 26, 27 which will correct the Cl II molar relation there and provide enough space for leveling and aligning the anteriors. Correct crossbite in left buccal segment with expansion in the SS working wire.

     

    2. Extract 34 and 44 for leveling and aligning the lower.

     

    After space closure, close buccal segment occlusal space with finishing archwire and elastics. This Rx plan will give you a good Canine and Molar Cl I relation also without change in the profile.

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