How to fix a mixed dentition case where the techs are sequentially distalizing lower molars

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Please watch as Dr. Schalk reviews this mixed dentition clincheck.


Understanding and Correcting A Mixed Dentition Clincheck

Class II molar with insufficient overjet

  1. Identifying Issues

    • Pointing out errors in the treatment plan, such as distalization of lower molars that is unlikely to occur.

  2. Adjusting the Plan

    • Demonstrating how to modify the plan to show the actual movement that would occur.

    • Making the necessary adjustments to show realistic tooth movement.

  3. Addressing Overjet

    • Checking the overjet and ensuring there is enough space for future adjustments.

    • Planning for potential future use of class II elastics for a class I correction.

  4. Managing Canine Spacing

    • Noting the need for increased spacing around upper canines due to overly large lower canine eruption compensation pontics.

    • Adjusting the plan to create adequate space for canines without causing overjet issues.

  5. Root Positioning

    • Ensuring that 12 and 22 root tips are not moving distally into erupting canines.

    • Consider extraction of primary canines to create space for proper tooth alignment.

  6. Finalizing the Plan

    • Confirming that the adjustments made are consistent and realistic for effective orthodontic treatment.

    • Ensuring that the plan aligns with the desired outcome for the patient's dental alignment.

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