Growth Modification for a downgrown, hyperdivergent 13m

yagadaga

yagadaga

Iron
Joined
Jul 19, 2026
Posts
115
Reputation
29
i made a plan pls review it and give advice
MARPE expander with 4 micro-screws placed
0.25 mm per day (one quarter-turn in the morning, one quarter-turn in the evening) for 20–25 days until a 2–3 mm diastema

and begin wearing
the reverse-pull facemask with elastics (500 g per side) for 14 hours daily during sleep and after school

have the orthodontist place TADs (1.8 mm x 10 mm) in the infrazygomatic crest and mandibular buccal shelf. Attach nickel-titanium closed-coil springs (150 g per side) from TADs to the molar bands

herbst or forsus for mandible advancement 5mm protrusion

self-ligating braces on all teeth expect second molars
archwire 0.014" nickel-titanium heat-activated
in the first 3 months only NiTi wire
at the same appointment as braces placement have orthodontic insert 4 tads
Attach nickel-titanium closed-coil springs (150 g force per side) from each TAD to the molar hooks on the braces

sorry if i said something dumb im making this up when its kinda late
 

Attachments

  • Zrzut ekranu 2026-09-04 022411.png
    Zrzut ekranu 2026-09-04 022411.png
    264.9 KB · Views: 0

Similar threads

yagadaga
Replies
0
Views
39
yagadaga
yagadaga
yagadaga
Replies
11
Views
117
alozey
alozey
teenage_sub
Replies
9
Views
87
AutistKhan
AutistKhan
yagadaga
Replies
16
Views
182
baunew
baunew
Taburetkastat
Replies
15
Views
94
Rashm0n
Rashm0n

Users who are viewing this thread

Back
Top