Paige L. – Myobrace

pre operative 2022-10-21

TREATMENT STARTED AT AGE : 7

Analysis

• Early Mixed Dentition
• Class 2 based on deciduous dentition only
• Evidence of moderate to heavy attrition of the anteriors
• Ectopic eruption of 11 buccally
• OPG suggest moderate/severe crowding of permanent unerupted anteriors
• Diastemas of the deciduous anteriors suggest tongue thrust – noted clinically

goals

• Arch development to maximize arch development to accommodate eruption of the permanent anteriors.

Treatment plan

• Stage 1
  As we have diagnosed this early we have time to try a more holistic approach using Myobrace. This will establish a more stable outcome by addressing the myofunctional factors.
• Stage 2
  Option of Rapid Maxillary Expansion discussed and option to be left open for reassessment after stage 1 if more space is required

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stage 1

1st Review – 2023-03-01

• YELLOW = Pre-Op 2022-10-29
• BLUE = 1st Review 2023-03-01

• Great compliance in the first quarter.
• Evidence of arch expansion at the molar level.
• Retraction of 11

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2nd Review – 2023-05-30

• Maintenance of progress from 1st review
  • 11 Retraction
  • Molar arch expansion
• Eruption of 21 and 6’s aligning to archform
• Closing of anterior diastemas

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3rd Review – 2023-08-22

• Upsizes from K1 small to K1 medium. Superimposed scan of maxilla over Mybrace scan
  As the archform is widening we confirm by superimposing the maxilla over the medium myobrace and decided that Paige could get more from the larger size.

• Expansion maintained.
• Note further eruption of 6’s
• Aligning and retraction of 11 and 21

• Closing of anterior diastemas in alignment

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4th Review – 2023-12-05

• Last of the scheduled reviewed. Paige will continue to use myobrace for the myofunctional therapeutic benefits and also as protection against attrition. Monitoring will occur with routine dental maintenance

• Anterior – Closing of diastema

• Overjet is under control.

• Right side Class II molar is correcting

• Left side Class II molar persisting at this stage

• Upper arch developing well shaped and widened in the posterior region

• Lower arch is also wider and shifted anteriorly relative to the upper arch contribution to class II correction. Note right side has shifted mesially more than the left side.