old case: Composite - Orthodontics

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old case: Composite - Orthodontics

  1. 1. Orthodontic and Composite build up Dr Jean-Marc Retrouvey McGill University
  2. 2. Start of treatment 9 year old female• Peg lateral incisors• Narrow arches• Moderate lower dental crowding
  3. 3. Post maxillary expansion appliance • Upper canine poorly angulated • Lateral incisor is peg shaped
  4. 4. • Very light wire to bring canine to the occlusal plane• Self ligating brackets
  5. 5. Tooth positioning• Extrusion of the Lateral to get the best gingival margin as possible• Restorative dentist wants the lateral to be centered. Usually I place it more distal to rebuild the mesial and get a nicer anatomy
  6. 6. Final result: 12 months post treatment• Same procedure was done on the right side and on identical twin• Lower lateral has intruded slightly

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