Extract the over-retained 75, infraoccluded 85, impacted 45 and
18,28. Comprehensive orthodontic fixed appliance treatment including
effective mandibular molar mesialisation.
- Rapid maxillary expansion (RME) to address the maxillary transverse
deficiency and correct the LHS posterior lingual crossbite
- Removing the 75 will avoid the need for a future implant in this
region and effective mesialisation of the 36,37 will create space for
the unerupted 38
- Removing the 85 and 45 will create an alveolar bony defect which can
be regenerated with normal healing and effective mesialisation of the
46,47. Such mesialisation will also create space for the unerupted 48
- Removing the 18,28 as these teeth will be either impacted or
occlusally redundant post-treatment
- Use of TADs can provide safe, predictable and effective orthodontic
tooth movements as required (i.e. uprighting of the tipped 46 and
effective mandibular molar mesialisation)
- Aims to maintain normal anterior overbite, overjet and the currently
harmonious lip positions and incisor angulations
- Review the unerupted mandibular third molars until their expected
eventual clinical eruption