Fig. 5 Maintain the cone shaped lower incisor for bone preservation as long as possible v Maintain flat curve of Spee v Achieve Maximum intercuspation in premolar area v Cosmetic bonding of Maxillary canines, reshape to laterals v Laser gingival contouring after space closure in maxillary anterior area v Retain results with Maxillary Essix and bonded 1-1 and Mandibular Hawley with pontic v Treatment Plan í Straight wire appliances to level, align the arches and rotate teeth í Close maxillary spaces and diastema between #8 and #9 í Bodily movement of maxillary canines to substi-tute for laterals í Move first bicuspids in to position of canines í Increase maxillary anterior torque without increasing spaces í Keep molars Class 1 í Keep cone shaped incisor to preserve alveolar bone until JS is ready for implant surgery í Close posterior mandibular spaces and maintain anterior space for removable prosthesis and future implant supported crown by using Open Coil Spring í Consultation with oral surgeon for viability of implant site Treatment Objectives v Improve facial and dental esthetics v Increase patient’s self confidence v Level and align the arches v Close anterior and posterior spaces v Eliminate maxillary diastema between #8 and #9 v Maintain Class 1 molar relationship v Substitute canines for the absent laterals v Move first bicuspids mesially into position of maxillary canines v Increase anterior torque with-out increasing spaces by using Art Spring (Fig. 5 ) v Maintain space for 1 implant supported prosthesis for missing mandibular central incisors Fig. 6 Fig. 7 Fig. 8 32 Fall 2019 JAOS
Journal of the American Orthodontic Society Fall 2019: Page 32
