English English Français Français
Dr Larry Brown

Adolescent female: CLI dental/skeletal, Bimaxillary dento-alveolar protrusion; Extraction of 14, 24, 34, 44; Space closure by maximum anchorage.


 Beginning

 

 

 

4th month: after 4 months of leveling, it is apparent that the patient has a “Too full” profile requiring virtually maximum anchorage.

 

 

5th month: Molars are stopped with lock-stops and the cuspids are “distalized first” to protect the anchorage. 200gram NiTi closing springs are in place 24/24. The patient adds 6mm CLI elastics 12/24

 

 

6th month: Continue the same: Molars are stopped with lock-stops and the cuspids are “distalized first” to protect the anchorage. 200gram NiTi closing springs from the molar hooks to the cuspid hooks are in place 24/24. The patient adds 6mm CLI elastics 12/24.

 

 

8th month: Cuspids are now distalized. The lock-stops are removed. The incisors are now distalized “en masse” using the same CLI forces from the molars hooks to the wire posts.

 

 

 

13th month: Spaces are closed; final finishings.

 

 

Final month: Remove appliance, place retention.

 

 

Final : Facial esthetics

 

 

 

Recall 12 months after the braces were removed. The patient is 18 years old