iDentistry The Journal September-December 2017 | Page 8
The Journal
Treatment Plan Treatment Progress
Considering the findings, non extraction fixed
mechanotherapy was planned using 0.018”
standard edgewise appliance. After leveling
and alignment, a fixed functional appliance was
given to advance the mandible into class I
relationship. Forsus FRD was the best option,
considering age, patient comfort, ease of
installation, lack of breakages in clinical use,
predictable results and no need for patient
compliance. Treatment was started using 0.016” NiTi in both
arches, which was followed by 0.016” Stainless
steel wire with curve of spee, 0.016 X 0.022 SS.
Consolidation of anterior spaces were done
followed by which 0.017 X 0.025 stainless steel
wire was placed. Leveling and alignment was
completed in 6 months. At the end of phase 1,
there was 7 mm of overjet and 50% of overbite.
(Fig.3,4)
Fig 3 : Pre-functional extraoral photographs
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Vol. 13 No. 3
Sep-Dec 2017