This would be a multiple stage treatment plan. First stage would involve a band (3.6) and loop to maintain space for the premolars to erupt. To hold the arch form, metal bands can be placed on 3.7 and 4.6, with a lingual wire soldered onto them. The lingual wire should contact all the teeth on the lingual side, except for the 4.5, which seems to be still erupting. The stages to follow could push the lingually inclined 4.6 back into the arch, expand the posterior teeth with a mandibular expansion screw and rotate the 4.5 if necessary.
i also agree with cheryl although i think that the premolars 3.4 and 3.5 have been extracted and the space must be maintained so future prosthesis maybe fabricated i also agree that the expansion of the posterior arch is necessary.
This would be a multiple stage treatment plan.
ReplyDeleteFirst stage would involve a band (3.6) and loop to maintain space for the premolars to erupt.
To hold the arch form, metal bands can be placed on 3.7 and 4.6, with a lingual wire soldered onto them. The lingual wire should contact all the teeth on the lingual side, except for the 4.5, which seems to be still erupting.
The stages to follow could push the lingually inclined 4.6 back into the arch, expand the posterior teeth with a mandibular expansion screw and rotate the 4.5 if necessary.
I must agree with cheryl
ReplyDeletei also agree with cheryl although i think that the premolars 3.4 and 3.5 have been extracted and the space must be maintained so future prosthesis maybe fabricated i also agree that the expansion of the posterior arch is necessary.
ReplyDeleteI will make a space maintainer as I also agree on the teeth that are missing was extracted.
ReplyDeleteBand around 3.7 and 4.6 with a shape mantaining lingual wire against the teeth, soldered to the bands.
ReplyDeletei also agree to place a band and loop on 3.6 to maintain the space between 3.6 and 3.3.
ReplyDeleteI will agree on a space maintainer
ReplyDelete