Case Study 81 – Missing lower 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 29 months with braces.  Her lower baby second molars were ankylosed (frozen in the bone) and had to be removed.  We moved the other lower 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.

• 
• 
• 
• 
•