CASE STUDY Fig. 25: Gerety tracing revealing Class I ANB, Class III Wits, lips on the smile line, mesocephalic vertical with some forward compensation angulation of mandibular and maxillary incisors. Fig. 26: Ricketts tracing confirming the Class I dental but a skeletal Class III. This is a camouflaged Class III patient. “This article wants to show that with properly-timed mechanics and some ingenuity, good results can be achieved using the orthodontic tools available to most interested dentists.” oral conscience sedation. This was achieved at the authors’ office, as VR continues to be a patient of record at the time of this article. Her cephalometric tracings post treatment reveals a Class I dental, Class I ANB skeletal relationship. Her Wits and A-Po reveal a Class III skeletal relationship. This lets us conclude that this was a successful camouflaged Class II that if left untreated would have resulted in a patient with an ectopic and trans-posed maxillary canine (#6) with a poor overbite/overjet relationship in Class III. This article wants to show that with properly-timed mechanics and some ingenuity, good results can be achieved using the orthodontic tools available to most interested dentists. If this article helps with other patients Fig. 27, 28, 29: CBCT rendering images of balance arches with proper root angulations. who could benefit of this treatment, its value has been achieved. References 1. Tooth transposition: a multidisci-plinary approach, Mirian Aiko Nakane Matsumoto 1 and Maria Bernadete Sasso Stuani 1 Dental Press J Orthod. 2018 Jan-Feb; 23(1): 97–107 2. Sandham A, Harvie H. Ectopic erup-tion of the maxillary canine result-ing in transposition with adjacent teeth. Tandlaegebladet. 1985;89:9–11 3. Ciarlantini R, Melsen B. Maxillary tooth transposition: Correct or accept? Am J Orthod Dentofacial Orthop. 2007;132:385–94. 4. Weeks EC, Power SM. The presenta-tions and management of transposed Fig. 30: Post treatment airway CBCT. Patient does not have a restricted airway and anterior teeth are in proper overbite and overjet relationships. Lips are in a relaxed and balanced relationship. teeth. Br Dent J. 1996;181(11-12):421–424 5. Shapira Y, Kuftinec MM. A unique treatment approach for maxillary canine-lateral incisor transposition. Am J Orthod Dentofacial Orthop. 2001;119(5):540–545. www.orthodontics.com Summer 2023 37
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