ORTHO BITES RAPID PALATAL EXPANSION By David W. Jackson, DDS, FAGD, IBO, www.orthoplusseminars.com I Fig. 1 Fig. 2 n March 2007, the young lady pictured came to my office because of her “crooked teeth”. Her parents said she was self-conscious and that some other child had made fun of her smile. Her health history was negative and was caries free. She was in a late mixed dentition; Class II dental; Class II skele-tal; and Mesocephalic. Her upper lip was prog-nathic and her lower lip was retrognathic. She also had bilateral cross bite in her first molars. In addition, she exhibited slight rota-tions in her upper first molars.(Fig 1-3) The treatment plan was a phase approach, correcting the cross bite; correcting the Class II dental occlusion; and maintain a class I occlusion, hopefully avoiding a Phase II treatment. I explained to the parents that Phase I treatment is to address orthodontic issues, expanding the arches for the permanent teeth and preparing the patient for potential Phase II. After financial arrangements were discussed and all consent and information forms signed, I banded the first molars; brack-eted the upper and lower four anteriors; placed .018 Nitinol pre-fabricated utility arch wires (Ortho Organizers); placed an upper Fig. 3 10 November/December 2011 JAOS
Journal of the American Orthodontic Society November-December 2011: Page 10
