This chat above shows how orthobrain communicates with dentists both online and offline. We utilize our chat function so the dentists can send us messages at their convenience, and if need be, we are also able to set up phone calls and video conferences to go over more specific details. All is documented in your orthobrain patient chart.
Hey! So we have been working on his bite for MONTHS! He has been wearing CL3 elst on both sides and an upper PC to close the spaces which is his main concern, the spaces. All help welcomed please!Treating Dentist
Use 018 round Stainless Steel wires, if you have them… IPR the lower arch, you need over-jet to close upper spaces. The lower IPR will reduce the size of the interdental black triangles as a good side effect. The round lower wire will allow the Class 3 elastics to tip the teeth back when using space closing chain on the lower after you IPR. The round wire on top will minimize friction when using the Chain on the upper to close upper spaces.orthobrain orthodontist
Summary of a phone call: Lower anteriors often get mobile. The bone loss is a concern. Happy to know he is okay if lower is not perfectly straight. Everything I write still makes sense. Lower IPR today was a good idea. Leave the lower 19×25 SS wire in the lower if spaces are closed. Bond a lingual wire 22-27 on lower. O-ties on lower today. Use chain if spaces open distal to canines. 018 round SS upper with chain mesial wing to mesial wing 7-10. Class 3 elastics. Equilibrate to take anteriors out of occlusion if able. Finish with some spacing upper anteriors for veneers. May finish with open space between upper laterals and canines if acceptable…orthobrain orthodontist