Orthognathic surgery-like Orthodontics This femal...

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Orthognathic surgery-like Orthodontics
This female patient(46Y4M) presented lip protrusion, lip incompetency, large overjet & overbite. She had 2 lower fixed prosthetic bridges because of 2 missing teeth. I had to decrease ant. lower facial height to solve lip incompetency. 2 upper premolars were extracted. and Total arch intrusion and retraction were done via microimplants.
Actually every malocclusion has 3 dimensional problems. Until now, Orthodontists have thought little of vertical and horizontal problems except sagittal one. What about lip incompetency??? we have to focus on resolving lip incompetency especially Class II patients who have small chin. We could use mandibular autorotation .

Brackets: Damon clear MBT prescriptions
Microimplants: Jeil medical MIM, JB
Working archwires: .019 X .025 inch SS

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