Case Brief

This is an early intervention case starting at age 9. It was established very early that RME will be as a fixed appliance as Liam is unlikely to comply with self imposed daily use. He is happy to have the fixed appliance. He is slightly apprehensive. I assessed him to be a good candidate as he has realistic expectation and is likely to be compliant.

Pre-Op Records and Assessments

• Age : 9
• Sex : Male
• Analysis
  • Mixed dentition normal for age
    • Class 1 molar with deep bite
    • Upper central diastema – Tongue thrust may be a contributing factor

  • Moderate to severe crowding as seen on OPG
    • Unerupted 23 – tipped at nearly 45° mesially
    • Unerupted 32 – rotated and entrapped. Deciduous 73 has not exfoliated because the 32 is not aligned with the root tip of the 72.

Treatment Plan

• RME – fixed appliance for 3 to 4…