demographics diagnosis mechanics...

DEMOGRAPHICS DIAGNOSIS TREATMENTTIMEMECHANICS

CASESTUDY

FEMALE14YEARSOLD

CLASSICROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION

PROJECTEDTREATMENTTIME:22MONTHS

ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS

Courtesyof Dr.StratyRighellis

HYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRATION

ONDEMANDCEPROGRAMAcceleratingOrthodontics– FasterToothMovementwithPulsatileForcesPresenter:Dr.StratyRighellis

ADDITIONALRESOURCES

CASESTUDY

CourtesyofDr.StratyRighellis

BASELINE

DEMOGRAPHICSFEMALE14YEARSOLD

DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION

MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION

TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS


CASESTUDY


Seated Condylar Position Compared to Maximum Intercuspation






CASESTUDY







CASESTUDY


NoTreatment VTO

VerticalGrowthPatternCounterClockwiseRotator






CASESTUDY


NoTreatment VTOwithExtractionsDEMOGRAPHICS

FEMALE14YEARSOLD





CASESTUDY


StrategiesforWireChangesStage1:Leveling/Aligning

Mechanics&Intervals1. BeginwithlargestNiTi wirepossible,closingclipseasily

.014or.018NiTi2. 4weekintervalschangingNiTi wires

.020square>.0195x.025NiTi3. Resetbracketsandbandsecondmolarspriortostage2

Variability:Amountofcrowding

Goal:<4months.0195x.025ss






CASESTUDY


.022HybridApplianceAnteriorTeeth:ProdigyActiveSLBBicuspidTeeth:PassiveSLB

Wires:Upper:.014NiTiLower:.014NiTi

INITIALPLACEMENT

Stage1:Leveling/Aligning






CASESTUDY


U/L.014NiTiInitialPlacement

U.020 sq L.018 sqNiTi4WeeksLater 8WeeksLater

U/L.0195x.025NiTi

12 Weeks Later

U/L.0195x.025NiTiBand7’s

4OfficeVisitsforLeveling/Aligning

CASESTUDY

4WeeksLaterU:.020squareNiTiL:.018squareNiTi

8 WeeksLaterU: .0195x.025NiTiL: .0195 x.025 NiTi

InitialPlacementU/L.014NiTi

12WeeksLaterBand7’sU: .0195x.025NiTiL: .0195 x.025 NiTi


CASESTUDY


StrategiesforWireChangesStage2:Working

Mechanics&Intervals1. ClosespaceswithNiTi springsforcontinuousforcelevels

.0195x.025ss2. 6 weekintervals

Variability:Overbite&overjetTransversetoothpositionsVerticalcontrolsPatientcooperation

SpaceClosureExpectations:MaximumAnchorage8to10monthsReciprocalAnchorage4to6months






CASESTUDY

WorkingStageStart

2.5MonthsintoWorkingStage

4MonthsintoWorkingStage

6MonthsintoWorkingStage

4OfficeVisitsforWorkingPhase

Stage2:Working TotalTreatment:10Months

4OfficeVisitsforWorkingPhase

TotalTreatment:4MonthsWorkingStageStart U:.0195x.025DKHL:.0195x.025SS

TotalTreatment:10Months6MonthsLater

CASESTUDY

Stage2:Working

CASESTUDY


StrategiesforWireChangesStage3:Detailing

Mechanics&Intervals1. ReSetbrackets2. PlacelargestNiTi wireswithclipsclosed3. Progressto.0195x.025ss wires

3Points:1. Class12. OJ/OBwithin2mmofoptimal

3. Nointra-archspacesandlateralopenbites<2mm

Goal:MutuallyProtectedOcclusionBalancedprofilewithSmileEstheticsKeys






2 OfficeVisitsforDetailingbeforeDeband Appointment

CASESTUDY

4WeeksLaterTriangleelasticsU: .0195 x.025 SSL: .0195 x.025 SS

DetailingStartResetbracketsU: .0195 x.025 NiTiL: .0195 x.025 NiTi

Stage3:Detailing

3MonthsLaterDeband

TotalTreatment:15Months

CASESTUDY


FINISH






CASESTUDY

CourtesyofDr.StratyRighellis LINGUALOCCLUSION






CASESTUDY

FINISH:15MONTHS1WEEK

BASELINE

TreatmentSummary

Stage1:Leveling&Aligning 4Months

Stage2:Working 7.25Months

Stage3:Detailing 4Months

CASESTUDY


NoVisibleRootResorption






CASESTUDY


PRE VTO ACTUAL






demographics diagnosis mechanics...

Documents