Fig. 11a “His teeth and smile are beautiful. He and his mom are very happy with the outcome. I am proud of GG for wearing his elastics as prescribed. We will see him every three to six months for retainer checks.” Problems Encountered and Corrections: There was an early challenge when GG’s habit appliance broke in October and it was removed by the patient. I decided not to replace it right away. When I measured at his midline, his arch wires were 11 mm apart. My plan was to make a new appliance if this measure-ment was increased at his next appointment. The habit did not hamper the bite-closing, so I never had to make another appli-ance. The bite was able to be closed with elastics. Retention: Trutain upper and lower retainers were delivered at the debanding appointment. Three weeks later, a bonded retainer was placed on the lower anteriors. He will be checked every three months to make sure his bite is not opening. If it does, we will make him a new lower Trutain and place buttons on the anterior of the retainers to allow for him to place elastics at night. Description of Completed Occlusion and Dentition: GG finished with Class I molars and canines. (Figs. 12a-12b) Overjet and overbite were ideal at 1.5mm. He kept his oral hygiene well and the declacification spots at the Fig. 11b Fig. 11c 28 Winter 2023 JAOS
Journal of the American Orthodontic Society Winter 2023: Page 28
