CASE 1 - Patient S.S. 8069 AAO 2011

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8/15/2011 1 RG Wick Alexander, DDS, MSD Diplomate of the American Board of Orthodontics 840 West Mitchell Street Arlington, Texas 76013 www.drsalexander.com www.alexanderdiscipline.com TM

A.A.O. Chicago May 15th 9:35 am:

8/15/2011 2 A.A.O. Chicago May 15 th 9:35 am It’s Time to . . . Stand up for Stability !

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Long -Term Case 1 From the “Room of Truth” …

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8/15/2011 4 Patient : S.S. #8069 Age : 13 yrs. 8 mos. 1987

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8/15/2011 6 33.5 25.7

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8/15/2011 7 Pre - TX Impacted mandibular right 2 nd molar Maxillary cuspids poorly positioned

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79 71 8 38 96 124 102 Pre – TX

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8/15/2011 9 TREATMENT PLAN : Extract remaining primary teeth Extract four 2 nd bicuspids 1987

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8/15/2011 10 . . . Why extract 2 nd bicuspids ? . . . control profile

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8/15/2011 11 2 MONTHS: Sectional arches

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8/15/2011 12 Driftodontics

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8/15/2011 13 9 MONTHS: Cuspids erupting

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8/15/2011 14 Mandibular 2 nd molars erupted

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8/15/2011 15 19 MONTHS: Maxillary & Mandibular 17 X 25 SS

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8/15/2011 17 Treatment Time: 24 Months

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8/15/2011 19 Pre - TX 82 79 3 33 102 133 92

Maxillary Archwire Sequence :

8/15/2011 20 Maxillary Archwire Sequence Maxillary sectional AW 11 mos. .0175 Multistrand SS 2 mos. .016 S.S. 2 mos. 17 X 25 SS 9 mos. TREATMENT TIME: 24 mos.

Mandibular Archwire Sequence :

8/15/2011 21 Mandibular Archwire Sequence None 5 mos. 16 X 22 Multistrand SS 2 mos. 17 X 25 Multistrand SS 2 mos. 16 X 22 S.S. Closing Loops 7 mos. 17 X 25 S.S. 8 mos. TREATMENT TIME: 19 mos.

Individualized Forces::

8/15/2011 22 Individualized Forces: High Pull Facebow 9 mos. Elastics: Class 2 4 mos. Finishing elastics 2 mos.

Case Comparison::

8/15/2011 23 Case Comparison:

Case Comparison ::

8/15/2011 24 Case Comparison : Treatment Time : 24 months

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8/15/2011 Treatment Time: 24 Months

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8/15/2011 30 33.5 29.2 25.7 25.7

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8/15/2011 31 March 2011 22 Years Post - Treatment

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8/15/2011 32 22 years Post treatment

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33.5 29.2 25.7 25.7 31.1 24.8

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T1 T2 T3 IMPA 102 98 100 8/15/2011 36

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8/15/2011 37 TM

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