ORTHOBITES Fig. 2 Fig. 3 Fig. 4 "The NPE corrected the cross bite nicely. Another positive of the NPE is that it controls vertical dimension because of the patient swallowing 2,000+ times per 24 hours." the electrosurge tip between the centrals and injured the tissue. I also took a small fissure bur and distressed the interproximal bone employing the Regional Accel-eratory Phenomenon discovered by distinguished orthopedist, Harold Frost. Dr. Frost observed a direct correlation between the degree of injury response with the intensity of physiological healing response, which he coined Regional Accelerated Phenomena (RAP). RAP does not provide new healing processes, but rather explains the acceleration of normal healing events; the greater the insult, the more accelerated and intense the regional healing response. I had placed the patient in 16 x 16 SS Prefabricated Utility Arch Wires (Ortho Organizers) prior to surgery. After surgery, I placed a power chain from upper 1-1. Fig. 8 shows the surgerized tissue one week after the frenectomy procedure. Note the amazing healing in just one week. I placed a Nitanium Palatal Expander Fig. 5 (NPE – Ortho Organizers) in the maxilla for five months (Figs. 9 – 11). The NPE corrected the cross bite nicely. Another positive of the NPE is that it controls vertical dimension because of the patient swallowing 2,000+ times per 24 hours. I had planned a phase one treatment originally, but a panolipse taken on 12/08 altered my treatment plan (Figs.12–13). The roots for the premolars and cuspids were over two thirds www.orthodontics.com September/October 2013 11
Journal of the American Orthodontic Society September-October 2013: Page 11
