PMC5725483_01
The sequence of interceptive (Phase I) Treatment: Hawley Removable Appliance with Habit Breaker & Tongue Crib to restore normal tongue position and function. Six months later, an anterior acrylic inclined plane has been constructed to guide the lower anterior teeth into normal overbite and Overjet. case # 1.
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Post phase 1 treatment after 16 months duration, normal development of occlusion in 3Ds was achieved. The extra-oral features were in harmony and balance (competent lips and pleasant facial components). Case # 1.
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A retention protocol was established to maintain future stability (Fig. 2).
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Pre-treatment records: Extra-oral and Intra-oral features. Case # 2.
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Extra-oral examination: The patient had a rounded, symmetric face with incompetent lips where the lower lip is tucked behind the maxillary incisors forcing them labially and the mandibular incisors lingually (Fig. 3).
Pretreatment Cephalometric analysis of skeletal and dento-alveolar components Case # 2.
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Pre-Ortho treatment panoramic view. case# 2.
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Initial interceptive orthodontic appliances in both arches and treatment progress. Case # 2.
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Facial & occlusal features (pretreatment, early & end of phase I). Case #2.
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End of Phase II treatment showing radiographs, facial & occlusal features. Case #2.
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PMC5725483_04
Sequence of Phase I treatment: RPE (Haas Appliance); Followed by hawley retainer with tongue guard for stability (retention), ready to receive phase II treatment. P.6, case # 3.
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Phase II (Comprehensive Ortho Treatment) - June 2003-October 2004 Pre-finishing Stage. Case # 3.
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Post-treatment facial & occlusal features. Case # 3.
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Three years post retention facial & occlusal features (October 2008). Case # 3.
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Pretreatment records: Facial & occlusal features. Ceph tracing & analysis. Case # 4.
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Sequence of comprehensive ortho treatment, from habit breaker to detailing of occlusion. Case # 4.
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