Educational clinical cases
Clinical documentation with digital planning, biomechanics, and educational commentary. Content for educational purposes for the dental community.
Second Molar Mesialization: Moving a Second Molar into a First Molar Position
What can we do when a first molar has a poor prognosis? In this case, the mandibular first molar was extracted and the second molar was mesialized into its position, while also taking advantage of the mesial migration of the distal molar. Space closure required approximately 15 months and involved skeletal anchorage with buccal and lingual biomechanical control.
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Canine Derotation with Clear Aligners: Possible or Predictable?
Can a severely rotated canine be corrected using clear aligners alone? In this clinical case, approximately 80% of the derotation was achieved after 14 months of treatment through progressive space creation, buccal and palatal attachments, controlled staging, and a hinge-rotation approach. This case demonstrates that a movement may be possible with clear aligners, although this does not necessarily mean that it is the fastest or most predictable treatment option.
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