You are on page 1of 14

Angle Class I malocclusion Crowding

www.orthofree.com

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

James L. Cannon

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

Extreme protrusion of the maxillary and mandibular anterior teeth. Cuspids and molars are in a class I relationship.
James L. Cannon

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

Moderate crowding in both arches. Slight expansion of the first molars in both arches needed.
James L. Cannon

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

The initial archwires of .016 nickel titanium in both arches are utilized to correct rotations and correct the facial lingual plane of all teeth. Both archwires are inserted in the pre-adjusted slots with the exception of the mandibular six anterior teeth where the archwire is inserted into the interactive slots. This will allow the six mandibular teeth to be tipped distally to establish a good overbite relationship between the arches in the anterior. Light class I elastics in the mandible was employed. The retraction of the anterior teeth continued with .016 steel archwires with bi-lateral gable bends between the cuspids and the bicuspids. Each archwire was inserted in the interactive slots in the anterior teeth and for better anchorage in the pre-adjusted slot in the posterior teeth in both arches.
James L. Cannon

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

Once all extraction spaces were closed, the cuspids had a distal tip. To maintain the bite open a .016 steel VS (vertrical stablization)archwire with bi-lateral gable bends was inserted into the interactive slots of each arch. Also, to up-right the cuspids a .018 x .020 nickel titanium UA (universal auxillary) archwire was inserted into the pre-adjusted slots of each arch
James L. Cannon

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

Continuation of the alignment and up-righting of the teeth in both arches with the same configuration of archwires.

James L. Cannon

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

Occlusal views to show archform and space closure. No attachments on second molars. First molars and second bicuspids only were used for posterior anchorage.

James L. Cannon

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

The .018 steel archwires were removed from the interactive slots in both arches. The .018 x .025 nickel titanium remains to finish the case.

James L. Cannon

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

Continuation of finishing with the .018 x .025 nickel titanium archwires.


James L. Cannon

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

Completed treatment

James L. Cannon

CLASS I BIPROTRUSION
WWW.ORTHOFREE.COM

Pre and Post treatment profile photos


James L. Cannon