2024-05-20 Pre-Op

Pre-Op Analysis

Age 29

• Cross Bite with moderate/severe crowding of the lower anterior
• Asymmetric multiple missing teeth upper arch contributing to RHS cross bite
  • Missing 16 and the 17 is not the same dimension as the 26. The 18 is also malformed
• Tooth size discrepency – 22 < 12
• Class II Div 2 – 80% deep bite
• Moderate-Severe crowding of the lower arch
  • Lower anteriors are crowded (fanned)
  • 33,43 rotated 90°

Dx – the up righting of the unerupted 48 and 38 was discussed as an option at a latter stage. However I will be endeavoring to do some extrusion while we are correcting the occlusion. Finalization can be done as a separate procedure/stage. TADs would likely to be required and the costing will be additional. Brody has noted this

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2024-06-13 TREATMENT PLAN Accepted

Terms 24 to 30 months

Extractions of 37 and 47 is an option not costed and to be considered later if required

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2025-05-19 Progress Scan with U18 L17 vs one week (2025-05-26) of unbridled vertical elastics on the RHS