Hello dear colleagues, today I’m presenting a very meaningful case for me. This patient came after previous orthodontic treatment with a poor result. The first time I saw the patient, I told her she was an extraction case, and to my surprise, she absolutely agreed, in fact, she told me that she wanted to have tooth extractions… I got shocked because it was the first and so far, the only time I heard that!
The patient noticed her dental and facial aesthetics worsened as the treatment progressed and the teeth got more aligned, however, had a friend who’s had tooth extractions, and had better results.
Our treatment’s main goal is to reverse the bad tooth position as much as possible because of the alveolar bone shape limitations and the skeletal pattern.
The treatment biomechanics is based on shortening the arch length to achieve the occlusal plane levelling in a counter clock rotation manner.
We avoided the use of inter arch elastics during the space closure to avoid extrusive forces in the opposite direction of the treatment goal.
The Asher Face-bow helped on the anterior upper teeth correction and it was the choice because it has the perfect vector for the tooth correction.
I present the case long term follow up records.
The FACE treatment goals are a key to understand the diagnostic and an efficient tool to plan the treatment biomechanics as well
Thanks for your kind attention and Join the Revolution!