PMC3805986_01
Cephalometric values and panoramic radiograph at the start of treatment. From left to right: value measured, average value
from the population norm, standard deviation of the average value from the population norm, difference from the extreme value of the population
norm. Red: values above the norm, Green: values below the norm, Black: values within the norm.
TODENTJ-7-109_F4.jpg
PMC3805986_01_TODENTJ-7-109_F4.jpg
F4
TPA proclination spring. Modified transpalatal arch (stainless steel 0.036") with NiTi superalastic coil springs and push rods extended
on the upper central incisors. The activation is performed by locking the soldered screws with a custom-made screwdriver.
TODENTJ-7-109_F5.jpg
PMC3805986_01_TODENTJ-7-109_F5.jpg
F5
The treatment plan included the correction of the inclination of central incisors with an upper fixed modified transpalatal arch (TPA proclination spring, Fig. 5), with superelastic NiTi coil springs connected to stainless steel push rods extended on the first upper central incisors.
Herbst miniscope in place.
TODENTJ-7-109_F6.jpg
PMC3805986_01_TODENTJ-7-109_F6.jpg
F6
The appliance was fixed on reinforced molar bands (Rollo bands, American Orthodontics, Sheboygan, US) (Fig. 6, 7). 
Extraoral photographs following Herbst appliance.
TODENTJ-7-109_F7.jpg
PMC3805986_01_TODENTJ-7-109_F7.jpg
F7
The appliance was fixed on reinforced molar bands (Rollo bands, American Orthodontics, Sheboygan, US) (Fig. 6, 7). 
Intraoral photographs during treatment.0.019 "x0.025" Stailess steel archwires in place.
TODENTJ-7-109_F8.jpg
PMC3805986_01_TODENTJ-7-109_F8.jpg
F8
The fixed self-ligating multibracket appliance was placed to solve the dental crowding, obtain the intrusion of upper and lower incisors to correct the overbite, and reduce the chairside time (Fig. 8).
PMC3805986_02