how to treat this case ?

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Permalink Reply by ahmed fawzy kassem on June 11, 2011 at 11:38am

dear dr tarek you didnot mention your cast analysis for space required  this profile is an extraction profile itis a vertical growing sever crowding ,my opinion is to extract 4 bicuspid retract cuspid and flare the incisor since itis vertical i analyse your ceph can you send cast analysis to complete diagnosis and photo for cast

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Permalink Reply by tarik aouad on June 11, 2011 at 1:41pm

for children we don't extrate

Permalink Reply by ahmed fawzy kassem on June 12, 2011 at 11:16am

dear dr tarek treatment of childern depend on the patient profile  i send you pictures of some distalizer that i do with my cases but their profile ( z angle) tweed reading my opinon your case z angle or E LINE PASS outside the nose tip& all permanant teeth erupted  try without extrac, and look for stability of case and the final esthetic  good luck  

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Permalink Reply by tarik aouad on June 12, 2011 at 12:14pm

don't forget i'm using something like damon system thecnic and patient is still growing up we should only use quadhelix or disjoncteur .........or 

i don't agree for extractions dr ahmed fawzy kassem

Permalink Reply by ahmed fawzy kassem on June 13, 2011 at 9:11am

CVM from your ceph indicate indicate itis in stage 6 and there is no growth spru itis also open bite , cramped tongue , may be tongue thrust  dont be angery from me we are here for help each other i have a case like this TREATMENT PLAN

1. Maxillary Anterior Sagittal 3 screw
1 midline screw
2 side screws
Cut distal lateral incisors
Adam’s Clasps First bicuspids
First molars

2. Mandibular Bowbeer Appliance
1 midline screw
Occlusal rests lower first molars

After the maxillary arch has been properly developed to normal (intermolar width 36-39 mm.) and the lower posterior teeth have been uprighted over basal bone, re-evaluate the case.

 distalized with a DMJ 2000. If you need more expansion, add a midline screw.

Permalink Reply by tarik aouad on October 12, 2011 at 11:51am

hello all

after 8 months of treatment without extraction 

that's the results

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• el khanza fatima zahra apres 8mois 003.jpg, 373 KB

Permalink Reply by Franco Bruno on March 6, 2012 at 8:16am

I think that after 8 months you don't have a good control of the occlusal plane. In a bi-protrusion with openbite this is mandatory. I sugget you to add a palatal bar, or better, a Quad-helix. But you have to start working in the lower, instead you'll see a nice surgical case soon

Dr bruno

tarik aouad said:

hello all

after 8 months of treatment without extraction 

that's the results

Permalink Reply by tarik aouad on March 6, 2012 at 8:22am

thanks DR

yes i added quadhelix

i started the lower arch

later i will put photos 

the results are not good 

Permalink Reply by tarik aouad on March 6, 2012 at 8:28am

i forget i used inversed spee curbe arch 16X16 to correct the open bite

Franco Bruno said:

I think that after 8 months you don't have a good control of the occlusal plane. In a bi-protrusion with openbite this is mandatory. I sugget you to add a palatal bar, or better, a Quad-helix. But you have to start working in the lower, instead you'll see a nice surgical case soon

Dr bruno

tarik aouad said:

hello all

after 8 months of treatment without extraction 

that's the results