she is missed upper 4 from one side
no shift in midline
severity of proclination of anterior segment need extraction 4 of other side and retraction anterior segment ?
Dr.Suki
Can I see the upper and lower occlusal photos? The incisal inclination looks relatively normal, but there is also a slight protrusion, so if the anchor is adjusted well, I think the extraction may be possible.
WebCeph™
Dr.Suki
You can rotate or flip your image in the gallery tab. As I said before, it seems that extraction treatment is possible. If the patient is young, extraction treatment may be preferred over prosthetic treatment.
darkman_moh
Thanks alot for your help I thought i can do like your treatment in case you showed before for unilateral extraction and keep one side in class ii thanks again
darkman_moh
Yes 17 years old
Dr.Suki
That also seems like a good idea. If you don't want to change your patient's profile, it may take a little longer, but I think you might be able to mesialize the posterior teeth.
darkman_moh
If i do mesialization i will make t loop for mesialization
darkman_moh
And if i want to change profile and extract the 4s upper and lower ?
darkman_moh
So its need tpa Anchorage
Dr.Suki
If you want to mesialize the posterior teeth, the mini-screw anchor looks better than the TPA. :)
darkman_moh
If extract the upper 4 other side and retract the anterior s can use tpa ..?
Dr.Suki
I think it's good.
darkman_moh
thanks alot for your time and your advice
darkman_moh
You told me before about your case not used mini screw for mesialization
Dr.Suki
Since my case had crowding, there was no need for a mini-screw. But I think this case will have a lot of space after leveling.
darkman_moh
ok, Thanks ..