ACCELEDENT CASE REPORT. S. Jay Bowman, DMD, MSD Kalamazoo Orthodontics Portage, MI

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1 ACCELEDENT CASE REPORT S. Jay Bowman, DMD, MSD Kalamazoo Orthodontics Portage, MI

2 BASELINE - MARCH 2012 START 6 MM MINISCREWS

3 HORSESHOE JET - PURE SKELETAL ANCHORAGE NO ANCHORAGE LOSS POSSIBLE mm screws; 240 gram springs Compress 4 Week Intervals 3 4 Super Class I Molars Mx Braces Added

4 4/10/ MONTHS 3/28/12 TREATMENT START - IMPRESSION FOR HORSESHOE JET MN BUTTERFLY SYSTEM PRE-ADJUSTED APPLIANCES PLACED 4/10/12 ACCELEDENT DELIVERED 4/10/12 INSERTION OF HORSESHOE JET AND MINISCREWS I m always astounded to hear that you can t put braces on lower anteriors with a deep overbite: you need a bite plane. What are lower brackets but also a bite plane? Patient had no broken braces during course of treatment. No upper braces during distalization - no contribution to anchorage - hygiene - esthetics 6 mm screws.016 Niti >.022 slot

5 5/18/ MONTHS ACCELEDENT COMPLIANCE WEEK: 4/7 (57%) MONTH: 22/30 (73%) Mn Irregularity Resolved - Aligned to 17x mos.

6 6/22/ MONTHS ACCELEDENT COMPLIANCE WEEK: 4/7 (57%) MONTH: 22/30 (73%) MX SPACES OPENING MN LEVELING START Mn 17x25 3 mos.

7 8/16/ MONTHS ACCELEDENT COMPLIANCE WEEK: 5/7 (71%) MONTH: 18/30 (60%) Note: typical transposition of miniscrews relative to 2nd premolars START SUBJECTIVE: Could have called distalization "good enough", but wanted to ensure complete molar correction. NOTE: Mn Was Leveled to Accept 19X25 4 mos. (7/30/12)

8 9/25/ MONTHS ACCELEDENT COMPLIANCE WEEK: 6/7 (85%) MONTH: 20.5/30 (68%) DISTALIZATION COMPLETE 168 DAYS 5.6 MO OF DISTALIZATION 6 MO IN TREATMENT START Mn19x25 SS - Horseshoe Jet Locked Mx Braces Next Visit

9 ACCELEDENT COMPLIANCE WEEK: 6/7 (85%) MONTH: 20.5/30 (68%) DISTALIZATION COMPLETE 168 DAYS 5.6 MO OF DISTALIZATION 6 MO IN TREATMENT START

10 ACCELEDENT COMPLIANCE WEEK: 6/7 (85%) MONTH: 20.5/30 (68%) DISTALIZATION COMPLETE 168 DAYS 5.6 MO OF DISTALIZATION 6 MO IN TREATMENT DISTALIZED

11 COMPARATIVE ANALYSIS COMPARISONS AMONG VARIOUS DISTALIZING METHODS INVESTIGATOR APPLIANCE DISTALIZATION TIPPING MONTHS RATE TOTAL TX CHIU Distal Jet (degrees) (mm/mo) (time) BURKHARDT Pendulum CHIU Pendulum CAPRIOGLIO Pendulum CAPRIOGLIO Fast-Back ESCOBAR TAD/Pendulum KINZINGER TAD/Distal Jet CALI Frog CALI Distal Jet BAUMGARTNER Distal Jet 30 BAUMGARTNER Horseshoe Jet 29 CASE REPORT Horseshoe/ AcceleDent 5 13 cantilever but no anchorage loss Caution is warranted when comparing the results from an anecdotal case report

12 10/31/ MONTHS MAXILLARY SPACE CLOSURE/RETRACTION SUPPORTED BY MINISCREWS 7 MO MX BRACES PLACED START 7 Mo Mx Braces Placed

13 2/18/ MONTHS ACCELEDENT COMPLIANCE WEEK: 2/7 (28%) MONTH: 11/30 (36%) START Space Closed / Retraction Complete / 2nd Molars Banded Horseshoe Jet & Miniscrews Removed

14 4/10/ MONTHS ACCELEDENT COMPLIANCE WEEK: 4/7 (57%) MONTH: 20/30 (66%) DISTALIZATION COMPLETE 168 DAYS 5.6 MO OF DISTALIZATION 6 MO IN TREATMENT START Finishing & Detailing / Continued treatment for 3 more months. SUBJECTIVE: Could have called this "finished" but continued to ensure best results.

15 BRACES REMOVED & POSITIONER DELIVERED START: 3/28/12 FINISH: 7/19/13 Full-step Class II Division 1 Mild Crowding Significant Overjet 2nd Molars Erupted; 3rd Molars Present Significant Curve of Spee Chew Positioner 24/7 for for one week then retainer impressions Chew Positioner 2-3 hours in p.m. and wear to bed for one week

16 FINAL RECORD - JULY 2013 FINISH

17 Pre-treatment Post-treatment

18 PRE-TREATMENT PANORAMIC X-RAY POST-TREATMENT PANORAMIC X-RAY No root resorption noted or impaction of 3rd molars Favorable leveling & root paralleling 478 days 16 mo 16 visits

19

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