Orthodontic Treatment

on a Space in the Upper Right Central Incisor location

By: Dr. Amelita Lusung-Arceo, Certified Orthodontist
DENTALIGN Philippines , Manila Central University

My patient is a 14
year old female with
a space between
tth#12 and #21 due to
uneruption of the sub-
patally located and
horizontally
positioned upper right
central incisor or
tth#11.
The mother of the patient doesnt
want her to undergo any major
surgical removal of tooth #11
because she feels fine and does not
feel any discomfort.
Treatment
planning
Pre-orthodontic case
analysis
Intraoral photos
Profile photo
Impression cast
Panoramic and
Cephalometric xray
analysis
Palatal xray







Oral Rehabilitation
Deep scaling and root
planing
Oral Prophylaxis and
teeth restoration
Extraction of remaining
root fragments of
deciduous teeth
Construction of Upper
removable denture
For esthetic purposes while patient undergoes
orthodontic treatment
Upper RPD
One small pontic to cover
up the space for esthetic
purpose, masticatory
function and it acts as
space maintenance
Leveling and Alignment
Opening of the space by
Open Coilspring
Enough space is achieved and a new
removable denture was used
NOTE: This case is ideal by
using ceramic braces,
white-coated wire and coilsprings
for better esthetics
PATIENTS SMILE
WITH NEW
REMOVABLE
PARTIAL DENTURE
DENTALIGN
AFTER BRACES, PATIENT CAN HAVE AN UPPER
RETAINER WITH PONTIC AND A LOWER
RETAINER TOO TO STABILIZATION AND
RETENTION OF THE ORTHODONTIC TREATMENT
AND TO AVOID RELAPSE AND EXPANSION OR
UNNECESSARY MOVEMENTS
WHEN HE REACHES AT LEAST 21 YRS.OLD SHE
MAY HAVE A DENTAL IMPLANT TOO.

Recall the patient at least every six months after braces