ORTHOBITES Fig. 22 Fig. 25 Fig. 26 Fig. 27 orthodontics is highly successful. However, due to the flat/block-like/no anatomy/ primary molars, often sagit-tal correction issues relapse to various degrees (with repositioning appliance therapy). I have had poor results with Hawley retainers in a mixed dentition when it has been a repositioning treatment I use to place an anterior guide slope on the mixed dentition retainer (Figs. 22-23). The child would lose it; the dog would chew it up; and the primary teeth would fall out and it would not fit anymore. The Guide Slope, whether fabricated on the Hawley, or fixed on a wire welded to the molar bands, would create more issues. Several children I treated would actually bite on the slope, opening the bite, or bite behind the slope creating more issues. Fig. 23 Fig. 28 Fig. 24 Interceptive Treatment When Phase 1 is complete, I reit-erate to the patients (as I did prior to beginning interceptive treatment), that Phase I is to address the existing issues, to reduce the length of Phase II treatment and sometimes even eliminate phase II needs. I always stress this seldom happens. I further discuss the probable future of phase II treatment. I employ the “Dead Green President Approach” in this discussion with the parents. I explain that if phase II is necessary, the total combined cost for both phases will be very close to the normal Phase II fee. This way I can get in and get out www.orthodontics.com January/February 2013 13
Journal of the American Orthodontic Society January-February 2013: Page 13
