Severe Adult Orthodontic Malocclusion & Airway issues Part 2

266 Rating(s).


Posted on By Maurice Salama In Orthodontics

Thoughts on treatment for this Adult Male with Severe Skeletal and Dental Malocclusion. Has medical issues as well and sleep apnea/airway concerns. Missing maxillary central incisor, severe crowding, maxillary constriction, V-shaped arch form, etc. etc. Thoughts? Treatment plans? Dr. Salama

SARPE Sx Assisted Rapid Palatal Expansion
RPE Expansion

Maxilla after Invisalign & RPE
Mandible after Invisalign


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8 Comments

Pre and Post images

Preop ortho
Post op SARPE & Invisalign


Reply

Pre and Post images

Preop ortho
Post op SARPE & Invisalign


Reply

Pre and Post images

Preop ortho
Post op Invisalign


Reply

Pre and Post images

Preop Face
post op Face


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You must have a happy patient !! It would be interesting to find out how much his apnea score improved from just that expansion and the tongue room it provides.


Reply

Laurent; He has lost significant weight and his Apnea Scores are now down to levels where it may become manageable without a CPAP and just dental orthotic device. Thanks Dr. Salama


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Beautiful outcome Mo!
Did you ever tried to adress this type of cases using 4 manipulates as skeletal anchors?
It's very useful as you can expand a lot and at the same time you can distalise the posterior groups ( from canine to second molar).
Once again, awesome outcome! Congrats!
Bernardo


Reply

Bernardo; No, I never have. Can you post such a case here? Thanks Mo


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