PMC9293559_01
Case 1. 15-year-old female patient with a class II molar relationship subdivision right, shifted maxillary midline, and slightly proclined upper and lower incisors before treatment.
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A 15-year-old female presented with the chief complaints of maxillary incisor crowding and painful right jaw joint during chewing and opening but not during lateral excursion (Figure 6).
Case 1. Derotation of maxillary first molars with a nickel-titanium molar rotator.
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Case 1. Simultaneous distalization of maxillary first and second molars, a space mesial to the maxillary right first molar was noticed.
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Four months later, a space mesial to the maxillary right first molar was noticed confirming the distalization of the maxillary first and second molars (Figure 8).
Case 1. (a) Patient after 18 months of treatment. (b) Superimposition of pretreatment (black) and posttreatment (red) cephalometric tracings.
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Posttreatment records showed an improved profile and occlusion (Figure 9).
Case 1. Patient three years after treatment.
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Skeletal and dental results remained stable three years later (Figure 10).
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Case 2. 15-year-old female patient with bilateral class II canine and molar relationships, shifted maxillary midline, and blocked-out buccally upper left central incisor before treatment.
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A 15-year-old female presented with the chief complaint of severe maxillary incisor crowding (Figure 11).
Case 2. Simultaneous distalization of maxillary first and second molars.
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Four months later, after enough space had been created for the upper left central incisor, it was bonded and followed by the bonding of the mandibular arch (Figure 12).
Case 2. (a) Patient after 24 months of treatment. (b) Superimposition of pretreatment (black) and posttreatment (red) cephalometric tracings.
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Posttreatment records showed an improved profile and occlusion (Figure 13).
Case 2. Patient three years after treatment.
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Skeletal and dental results remained stable three years later (Figure 14).