CASE REPORT Fig. 14 Fig. 17 Fig. 18 Fig. 15 Fig. 16 Fig. 19 teeth relative to the mandibular teeth maintained to the comple-tion of treatment when using the Big Daddy appliance (Fig. 21)? I had Anderson Orthodontics, Inc. dental laboratory 1 weld custom buccal tubes onto the maxillary molar bands (Fig. 23A). The .045 tubes were placed approximately at the level of the center of resistance of the maxillary first molars (Fig. 23B). When the maxillary Big Daddy appliance was fabricated, 5mm step-up bends were placed just mesial of the custom buccal tubes (Fig. 23B) to be able to allow the ends to enter the tubes passively. When widening the arches on this adult patient, bodily translation www.orthodontics.com Fall 2022 9
Journal of the American Orthodontic Society Fall 2022: Page 9
