PMC4999637_01
Preoperative showing 21 in cross bite
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F1
Cross bite was seen in relation to 21 and lower anterior segment had mild crowding (Fig. 1).
2 x 4 appliance in place
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F2
NiTi wire 0.014 inch with ovoid arch form engaged (Fig. 2).
Corrected cross bite after 14 days
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F3
Rapid correction of the incisor relationship occurred and the patient was debonded after two weeks of bonding (Figs 3 to 5) and temporary composite build ups were removed.
After debonding
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F4
Rapid correction of the incisor relationship occurred and the patient was debonded after two weeks of bonding (Figs 3 to 5) and temporary composite build ups were removed.
Transpalatal arch
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F5
Rapid correction of the incisor relationship occurred and the patient was debonded after two weeks of bonding (Figs 3 to 5) and temporary composite build ups were removed.
PMC4999637_02
Removable jack screw appliance with posterior bite planes
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F7
Begg's brackets from 14 to 24
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F8
NiTi wire of 0.014 inch with ovoid arch form was engaged (Fig. 8).
Correction of cross bite
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F9
Debonding was done three weeks later, when the anterior-posterior arch relationship with respect to 11and 12 were corrected (Figs 9 and 10).
After debonding
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F10
Debonding was done three weeks later, when the anterior-posterior arch relationship with respect to 11and 12 were corrected (Figs 9 and 10).
PMC4999637_03
Preoperative showing posterior cross bite in relation to 16 and 46
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F11
He presented with grossly decayed 46 which was also in cross bite with 16 (Fig. 11).
Stainless steel crown with welded buccal tube
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F12
Stainless steel crown with welded buccal tube was cemented on 46 (Fig. 12).
Lingual button on palatal of 16
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F13
A lingual button was bonded on the palatal surface of 16 (Fig. 13) and interarch elastic was engaged between lingual of 16 and buccal of 46 (Fig. 14).
Postoperative showing corrected 46
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F15
After 8 weeks of the therapy, cross bite correction was achieved with established Angle's class I molar relation (Figs 15 and 16).