PMC8543102_01
PMC8543102_02
Initial images of the patient: Extraoral views: Frontal at rest (a), frontal at smile (b), left profile (c), right profile (d) intraoral views: Upper (e), smile close-up (f), lower (g), right (h), frontal (i), left (j).
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F1
Initial panoramic radiograph demonstrated symmetric condylar shape and position bilaterally, and there was no evidence of bone or dental pathology [Figures 1-4].
Initial panoramic view.
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F2
Initial lateral cephalogram.
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F3
Initial panoramic radiograph demonstrated symmetric condylar shape and position bilaterally, and there was no evidence of bone or dental pathology [Figures 1-4].
Initial posteroanterior cephalogram.
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F4
Initial panoramic radiograph demonstrated symmetric condylar shape and position bilaterally, and there was no evidence of bone or dental pathology [Figures 1-4].
PMC8543102_03
PMC8543102_04
Cone-beam computed tomography images to determine the appropriate place for miniscrew insertion.
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F5
Before miniscrew insertion, CBCB image from the lower arch was administrated in order to confirm the most suitable place for TAD insertion and avoid any probable root intimacy [Figure 5].
Intraoral views of the custom-made jig inserted for lower arch total mesialization.
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F6
Technology, USA), and then heavier forces by a 10-mm Sentalloy closed coil spring (Dentsply GAC Int., Bohemia, NY, USA) from lever arch to the jig hook. The miniscrew served as the anchorage for posterior segment mesialization by pulling force of the elastomeric chain and coil spring [Figures 6 and 7].
Schematic view of the custom-made jig for total mandibular arch mesialization. Before initiation of mesialization (a), after mesialization (b).
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F7
Technology, USA), and then heavier forces by a 10-mm Sentalloy closed coil spring (Dentsply GAC Int., Bohemia, NY, USA) from lever arch to the jig hook. The miniscrew served as the anchorage for posterior segment mesialization by pulling force of the elastomeric chain and coil spring [Figures 6 and 7].
Images of the patient at the end of the presurgical orthodontic phase: Extraoral views: Frontal at rest (a), frontal at smile (b), left profile (c), right profile (d) intraoral views: Upper (e), smile close-up (f), lower (g), right (h), frontal (i), left (j).
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F8
Dental arch preparation was accomplished in 14 months [Figures 8 and 9].
At the end of the presurgical orthodontic phase. Panoramic view (a), lateral cephalogram (b).
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F9
Dental arch preparation was accomplished in 14 months [Figures 8 and 9].
PMC8543102_05
Initial panoramic view.
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F2
Final images of the patient: Extraoral views: Frontal at rest (a), frontal at smile (b), left profile (c), right profile (d) intraoral views: Upper (e), smile close-up (f), lower (g), right(h), frontal(i), left(j).
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F10
Final panoramic view.
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F11
Final lateral cephalogram.
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F12