CASE REPORT Fig. 11 Fig. 13a Fig. 13b Fig. 14 Fig. 12 sequences on both the upper and lower arches. After approximately three more months, and as the upper and lower archwire sequences progressed, we noticed that the upper midline was slightly shifted to the right (about 1 mm). At this point, we instructed the patient to wear Class II elastics (5/16” 3 oz. Henry Schein) on her left side only, to correct and align her upper and lower midlines. She was told to wear this elastic all the time, except when eating. The purpose was explained. After 12 months, all teeth were in proper position. The midlines were aligned. All the treatment objectives had been achieved. Even KD’s profile had improved. Both the patient and her parents were very happy with results, and the patient was debanded. Upper and lower fixed retainers were placed. Post-op records were taken six months after appliances Fig. 15 were removed. (Figs. 7 -10) Post-op photos and models show the outstanding result achieved with this treatment. (Figs. 11-14) K. D. told us that before treatment, she did not smile for pictures because she was ashamed of her teeth. Now, after orthodontic treat-ment, she cannot stop showing off her new smile, in person and on social media. (Fig. 15) www.orthodontics.com Summer 2022 29
Journal of the American Orthodontic Society Summer 2022: Page 29
