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Armando Dias da Silva 4.1.23

Usually I have been posting on how to treat transverse discrepancies in young adults.

This time I’m posting about VERTICAL CONTROL&SKELETAL ANCHORAGE and how it can be complex to treat patients with problems in this plan.

19yrs old girl, treated by a colleague 5 yrs before, now seeking re-treatment, rejected by two colleagues who are specialists in orthodontics in my hometown of Oporto due to the case complexity…

Patient presented a huge list of problems, as you can see in the presentation and I decided to treat the problem at its origin, and not by the easy solution of extruding upper incisors.

This because a careful and complete diagnosis has to be done individually and please DO NOT USE PROTOCOLS as each patient has its problems.

In this complex case, at least to my knowledge, the treatment involved avoiding any kind of upper incisor extrusion, real intrusion of the upper lateral segments promoting anterior mandible rotation and using -6º brackets in the lower incisors. Then, at the end, the stability of the case depends if the patient will or not have the responsibility to look for speech therapy.

I also posted the retention records.

As always diagnosis is the key… look for dental and skeletal aesthetics, functional occlusion, periodontal respect and long term stability.

Also, I would like to invite you to attend the next FACE
INTERNATIONAL MEETING, so go to the webpage ( and you will be amazed with the program, the speakers and the venue.

Don’t let our speciality turn into a cosmetic profession…orthodontics IS NOT EASY!

Featured clinical cases

A good result is always preceded by a good diagnosis and ours, are exhaustive. Orthodontics cannot be understood without taking into account the entire ectomatognathic system; teeth are just one of all the structures to consider.

FACE International meeting

It’s so nice to announce our FACE Revolution International Meeting. After a break of almost 18 months, we are again very excited about organizing the next FACE Revolution Meeting.

We are preparing it with great care and enthusiasm. You can’t imagine our desire to meet our friends and have a face-to-face meeting. The screens and online courses are fine, but there is nothing like gathering, enjoying the friendship and seeing each other again.
I want to thank you very much for your patience, since we had to postpone the meeting twice, but trust us it was worth the wait.

We hope to see you in Madrid and do not forget that “treatment mechanics is still the key to success for excellent orthodontics: with or without aligners”.