Treatment Photos

Case 1

• 13.5 years old
• Unilateral Class II
• 6 mm O.J.
• Impinging O.B.

Treatment Plan:

• Full bond upper and lower 7-7 with 20/20 molar upper right and 20/12 molar upper left
• Temporary buildup of lingual cusps of maxillary first molars to avoid biting off lower brackets

Consult appointment

Stage 1: Start date – upper and lower .018 PDS Heat Activated wire

One year later – .019 x .025 PDS Beta “P” looped upper and .019 x .025 PDS Beta Ideal lower

(Stage 2 – .020 x .020 wires not needed)

Removal appointment – 13 months, 2 weeks later

• Molar rotation with PDS 20/20 molar bracket right side
• Short Class II elastics for 11 weeks on the right side
• 6 Total appointments including bonding and removal

Initial & Final smile

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Case 2

• 16 years old
• Maxillary & mandibular asymmetry
• Anterior open bite
• Severe TMD pain/headaches

Treatment Plan:

• Full bond upper & lower 6-6 with Roncone PDS Prescription second molars not bonded but equilibrated

Initial consult

Post 3 month Splint therapy

Initial Bonding Date – Stage 1: .018 PDS heat activated wires upper & lower

7 months later – Stage 2: .018’s removed and 020 x 020 PDS heat activated titanium (quality control wires) placed

Short Class II elastics placed and worn for 4 months total (6 weeks with .020 x .020 and 10 weeks with Beta wires)

Stage 3: 19 x 25 PDS “P” looped Beta in upper and 19 x 25 PDS Ideal Beta lower

Post Removal

• 15 months, 1 week total treatment
• 8 appointments including bonding and removal but not including splint appointments

The significantly increased buccal root torque of the PDS maxillary posteriors was very instrumental in closing the anterior open bite.

 

Before – profile and smiling

 

After – profile and smiling

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Case 3

• 36 years old
• Narrow arches, crowding, MPD (headaches)
• Class I
• Maxillary tooth size discrepancy

Treatment Plan:

• Splint (about 4 months)
• Full bond 7-7 upper and lower with Roncone PDS Prescription

Initial consult

Post-Splint bonding – Stage 1 – Initial bonding date – .018 upper & .014 twin lower

One appointment after 4 months for progress check

7 months later – 19 x 25 PDS “P” looped Beta upper & 19 x 25 PDS Ideal Beta lower

Stage 3 (Stage 2, .020 x .020 wires not necessary)

Removal appointment – 10 months total treatment time

6 total appointments including bonding and removal

Before and After smiles

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