Case Study 79 – Missing upper second premolars, and camouflaged the absence of both with moving the other teeth forward

Treatment was with braces in the Damon System prior to our use of Insignia.  Treatment was to address the absence of her upper second premolars. Total treatment time was about 21 months with braces.  She had tried to preserve her upper baby second molars, but they eventually started to fail.  We moved the other upper teeth forward to close the spaces from the missing teeth.  We used TAD’s (temporary anchorage devices) to assist with the forward movement of her upper molars.  The TAD’s were removed and there is not any evidence that they had ever been placed…. again, they are “temporary” anchorage devices. Treatment was without a palatal expander.  She had treatment prior to implementation of custom treatment protocols with Insignia.

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