Page 25 - DP Vol 20 No 5_Neat

Fig 31: Segmental Radiograph of the Maxillary Left side Fig 32: A modified Jackscrew appliance placed on the maxillary Left with Trans-
taken a month earlier revealed: 23, 24, 25 – present – 24 has Palatal appliance to disallow 16 to mesially tilt or migrate. The appliance was
almost erupted. The roots of 64 appear resorbed and nearing activated 1 turn/day by the parent. 24 – to slightly mesialize and contact with
exfoliation. Less space for 25 to erupt. Parents counselled. 63 and also to distalize 26 in order to create just sufficient space for 25 to erupt
– regain Leeway Space of Nance.

Fig 33: Digital IOPA 25 area taken Fig 34: After 65 root stump Fig 35: Full Maxillary arch Occlusal View showing the mesialized 24
after 1 month of initiation of removal. 24 has moved mesially & with the 65-root stump immediately post extraction. The Trans-
treatment revealed 65 – root stump 26 has distalized to allow sufficient Palatal arch is preventing 16-medial migration/ tipping
and the space has been regained space for 25 to erupt.
– the distal aspect of 26 is almost
contacting mesial aspect of un-
erupted 27.

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