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Case 4: This patient required that her last remaining maxillary bicuspids be removed so that the anteriors could be positioned in proper occlusion with the lower incisors. This also relieved maxillary crowding. (ABO Case) CASE 1: maxillary lateral extracted, CASE 2: surgical Class III, showing pre-surgical decompensation, CASE 3: bilateral cleft lip and palate with free pre-maxilla. CASE 4: maxillary molars placed next to maxillary cuspids.
This patient was missing the maxillary right 3rd molar and first bicuspid, maxillary left first bicuspid and third molar. Someone had been nice enough to remove them for her to allow impacted cuspids to erupt. She was also missing both mandibular first molars. I had the remaining maxillary second bicuspids and the mandibular first bicuspids removed. Records were taken 10/20/77, 8/21/80 and 9/23/93. Active treatment time was 30 months. I had advised this lady that orthognathic surgery was her best course. She did not want surgery. Treatment time was taking so long that we both decided to quit at 30 months though some things still needed to be done like distally rotating the maxillary molars, continued uprighting of the mandibular molars, and root alignment of the mandibular right cuspid. That tooth had been way out there.
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CASE 1: maxillary lateral extracted,
CASE 2: surgical Class III, showing
pre-surgical decompensation, CASE 3: bilateral
cleft lip and palate with free pre-maxilla. CASE
4: maxillary molars placed next to maxillary cuspids.