{"id":4658,"date":"2024-10-30T11:10:19","date_gmt":"2024-10-30T11:10:19","guid":{"rendered":"https:\/\/ormcoeurope.com\/ro\/?p=4658"},"modified":"2025-05-09T07:57:15","modified_gmt":"2025-05-09T07:57:15","slug":"case-report-damon-clear-and-damon-ultima-the-history-and-lessons-of-a-case-with-a-29-abo-score","status":"publish","type":"post","link":"https:\/\/ormcoeurope.com\/ro\/case-report-damon-clear-and-damon-ultima-the-history-and-lessons-of-a-case-with-a-29-abo-score\/","title":{"rendered":"Damon\u2122 Clear and Damon Ultima\u2122 \u2013 The history and lessons of a case with a 29 ABO score."},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_section][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]<span class=\"text-dark-grey\">CASE REPORT<\/span><\/p>\n<h1><span class=\"text-secondary\">Damon<\/span><span class=\"text-secondary\">\u2122\u00a0<\/span><span class=\"text-secondary\">Clear and Damon Ultima\u2122 &#8211; the history and lessons of a case with a 29 ABO score.<\/span><\/h1>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]A 27-year-old female patient presented with class III malocclusion, 15 mm crowding in the upper arch, an anterior open bite, a lateral crossbite, and a total ABO score of 29. Her facial profile was straight with a retrusive maxilla, and the upper and lower incisors were retroclined. An extreme lack of midface support was also noted, and the constricted dental arches resulted in a poor smile width and dark buccal corridors. No myofunctional investigations were performed at the time, as they were initially considered unnecessary.<\/p>\n<p>Dr. Claudiu Coca adopted the Damon Philosophy in 2016, which he applies to this case. For him, this case was a learning experience, and he shares it in the hope that other clinicians may benefit from his observations.[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;]<div class=\"before-after\"><div class=\"ba-slider\" data-component=\"ba-slider\">\n                                <div class=\"slider\">\n                                    <label for=\"slider-range\" class=\"slider-label\">Move image comparison slider<\/label>\n                                    <input type=\"range\" min=\"0\" max=\"100\" value=\"50\" class=\"slider-range\" id=\"slider-range\" data-ba-range=\"\">\n                                    <div class=\"slide slide--overlay\" data-ba-overlay=\"\">\n                                         <figure class=\"slide-figure slide-figure--overlay\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"259\" height=\"131\" src=\"https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2025\/05\/Case-Report-Dr-Claudiu-Coca-2024-before.png\" class=\"attachment-before-after size-before-after\" alt=\"\" srcset=\"https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2025\/05\/Case-Report-Dr-Claudiu-Coca-2024-before.png 259w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2025\/05\/Case-Report-Dr-Claudiu-Coca-2024-before-100x51.png 100w\" sizes=\"auto, (max-width: 259px) 100vw, 259px\" \/>\n                                            <figcaption class=\"slide-caption slide-caption--before\">\n                                                  <span>BEFORE<\/span>\n                                             <\/figcaption>\n                                         <\/figure>\n                                    <\/div>\n                                    <div class=\"slide-toggle\" data-ba-toggle=\"\">\n                                        <span class=\"slide-thumb\">\n                                           <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"18\" height=\"10\"\n                                                viewBox=\"0 0 18 10\" fill=\"#fff\">\n                                              <path d=\"M12.121 4.703V.488c0-.302.384-.454.609-.24l4.42 4.214a.33.33 0 0 1 0 .481l-4.42 4.214c-.225.215-.609.063-.609-.24V4.703z\"><\/path>\n                                              <path d=\"M5.879 4.703V.488c0-.302-.384-.454-.609-.24L.85 4.462a.33.33 0 0 0 0 .481l4.42 4.214c.225.215.609.063.609-.24V4.703z\"><\/path>\n                                           <\/svg>\n                                        <\/span>\n                                    <\/div>\n                                    <div class=\"slide\">\n                                       <figure class=\"slide-figure\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"259\" height=\"131\" src=\"https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2025\/05\/Case-Report-Dr-Claudiu-Coca-2024-after.png\" class=\"attachment-before-after size-before-after\" alt=\"\" srcset=\"https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2025\/05\/Case-Report-Dr-Claudiu-Coca-2024-after.png 259w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2025\/05\/Case-Report-Dr-Claudiu-Coca-2024-after-100x51.png 100w\" sizes=\"auto, (max-width: 259px) 100vw, 259px\" \/>\n                                            <figcaption class=\"slide-caption slide-caption--after\">\n                                                <span>AFTER<\/span>\n                                            <\/figcaption>\n                                        <\/figure>\n                                    <\/div>\n                                <\/div>\n                           <\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_widget_sidebar sidebar_id=&#8221;actualidad&#8221;][vc_btn title=&#8221;Go to case report gallery&#8221; style=&#8221;btn&#8221; color=&#8221;secondary&#8221; align=&#8221;left&#8221; i_icon_fontawesome=&#8221;fas fa-th&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; add_icon=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Formcoeurope.com%2Fro%2Fcase-reports%2F|title:Case%20reports&#8221; el_class=&#8221;full-width&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1715605597040{background-color: #0e1e4c !important;}&#8221;][vc_row equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221; el_class=&#8221;wpb_text_column&#8211;white&#8221;]<\/p>\n<h3>Dr. Claudiu Coca*, Romania<\/h3>\n<p>Dr. Claudiu Coca is a distinguished orthodontist with extensive experience in orthodontics and dentofacial orthopedics. He graduated in 2000 from the Faculty of Dentistry at Carol Davila University of Medicine and Pharmacy in Bucharest, Romania. In 2001, he began his academic career as an Assistant Lecturer in the Department of Orthodontics and Dentofacial Orthopedics at the same institution.<\/p>\n<p>By 2004, he had specialized in orthodontics and dentofacial orthopedics and was promoted to Assistant Professor in 2005, a position he held until 2008. During this time, he continued to teach at the Faculty of Dentistry at Carol Davila University.<\/p>\n<p>Dr. Coca has been an active user of the Damon Bracket System since 2010 and has incorporated the Damon Philosophy into his practice since 2016. He has treated over 600 orthodontic patients using the Damon system, all of which have been documented with photographic records.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4663&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_section][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span class=\"text-secondary\">Objectives<\/span><\/h3>\n<p>Adhering to the principles of Face First Orthodontics, the primary objective was to increase midface support by expanding the upper maxilla, fixing the cross bite, and aligning the teeth. Closing the open bite was a secondary objective.<\/p>\n<h3><span class=\"text-secondary\">Treatment Plan <\/span><\/h3>\n<p>Dr. Coca\u2019s treatment plan followed the Biology First Orthodontics approach, which aims to minimize biological interventions. The treatment plan avoided extractions, stripping, TADs, corticotomy, and RPE. Given the facial requirements, a non-extraction treatment option was chosen.[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1715597137844{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4664&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1715597128019{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4665&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1715597120885{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4666&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1715597113311{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4667&#8243; img_size=&#8221;full&#8221; alignment=&#8221;right&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715327738194{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4668&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1715327749675{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4669&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221; css=&#8221;.vc_custom_1746774658738{margin-right: 0px !important;margin-left: 0px !important;}&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715327738194{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4670&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715327749675{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4671&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221; css=&#8221;.vc_custom_1746774683524{margin-right: 0px !important;margin-left: 0px !important;}&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715327758910{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4672&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221; css=&#8221;.vc_custom_1746774695225{margin-right: 0px !important;margin-left: 0px !important;}&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715327738194{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4673&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715327749675{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4674&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221; css=&#8221;.vc_custom_1746774723264{margin-right: 0px !important;margin-left: 0px !important;}&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1715605995880{background-color: #0e1e4c !important;}&#8221;][vc_column][vc_column_text css=&#8221;&#8221; el_class=&#8221;wpb_text_column&#8211;white&#8221;]<\/p>\n<h3>Case setup<\/h3>\n<p>The treatment began in 2017. Given the patient\u2019s preference for less visible brackets, Damon Clear brackets were selected. High torque upper cuspids and low torque upper incisors were chosen to offer the best torque control for upper arch development. For the lower arch, there were no alternative bracket configurations available. Bite turbos were applied to the upper second molars.[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1715597656029{background-color: #f2f1ec !important;}&#8221;][vc_column][vc_column_text]<\/p>\n<h3><span class=\"text-secondary\">Case progression<\/span><\/h3>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Month 0<\/span><\/h4>\n<ul>\n<li>013 CuNiTi<\/li>\n<li>Quail (3\/16\u2019\u2019, 2 Oz) Elastic worn nonstop on the left side<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4675&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4676&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221; css=&#8221;.vc_custom_1746775498385{margin-right: 0px !important;margin-left: 0px !important;}&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4677&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221; css=&#8221;.vc_custom_1746775507862{margin-right: 0px !important;margin-left: 0px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\"><strong>What Dr. Coca would do differently:<\/strong><\/span><\/p>\n<ul>\n<li><span class=\"text-secondary\">Adhere to the principle that the wire must have angles greater than 90 degrees and create space using a NiTi Medium Open Coil Spring, activating one coil length every six weeks.<\/span><\/li>\n<li><span class=\"text-secondary\">Assess tongue posture and speech execution. Begin myofunctional therapy. <\/span><\/li>\n<li><span class=\"text-secondary\">Avoid applying Class II elastics.<\/span><\/li>\n<li><span class=\"text-secondary\">Use criss-cross elastics instead.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_section][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Month 2<\/span><\/h4>\n<ul>\n<li>013 CuNiTi<\/li>\n<li>Quail (3\/16\u2019\u2019, 2 Oz) Elastic worn nonstop on the left side<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4678&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4679&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599984955{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4680&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\"><strong>Observations<\/strong>:<\/span><\/p>\n<ul>\n<li><span class=\"text-secondary\">The open bite appeared to be getting smaller, even though the upper incisors were being elevated toward the cuspids.<br \/>\n<\/span><\/li>\n<li><span class=\"text-secondary\">Gingival retraction on tooth 23.<br \/>\n<\/span><\/li>\n<li><span class=\"text-secondary\">Crossbite showed no improvement.<br \/>\n<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1715601238963{background-color: #f2f1ec !important;}&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Month 4<\/span><\/h4>\n<ul>\n<li><span class=\"text-secondary\">013 CuNiTi <\/span><\/li>\n<li><span class=\"text-secondary\">Hummingbird (1\/8\u2019\u2019, 2 Oz) Criss Cross Elastic worn\u00a0continuously on the left side<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4681&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4682&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4683&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\"><strong>Observations<\/strong>:<\/span><\/p>\n<ul>\n<li><span class=\"text-secondary\">The open bite worsened due to the forces generated by not adhering to the 90-degree rule. <\/span><\/li>\n<li><span class=\"text-secondary\">No crossbite improvement.<\/span><\/li>\n<li><span class=\"text-secondary\">Gingival retraction on tooth 23 worsened, caused by forces exerted on the crown without enough space for lingual movement. <\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Month 17<\/span><\/h4>\n<ul>\n<li><span class=\"text-secondary\">016&#215;025 CuNiTi <\/span><\/li>\n<li><span class=\"text-secondary\">Chipmunk (1\/8\u2019\u2019, 3.5 Oz) Criss Cross left side, at night <\/span><\/li>\n<li><span class=\"text-secondary\">Begin Myofunctional Therapy since the left side open bite has been stable for the past 10 months.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4684&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4685&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4686&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\"><strong>Observations<\/strong>:<\/span><\/p>\n<ul>\n<li><span class=\"text-secondary\">The open bite was improving on the left side.\u00a0<\/span><\/li>\n<li><span class=\"text-secondary\"> The crossbite was improving.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1715601238963{background-color: #f2f1ec !important;}&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Month 23<\/span><\/h4>\n<ul>\n<li><span class=\"text-secondary\">016&#215;025 CuNiTi <\/span><\/li>\n<li><span class=\"text-secondary\">Rebond 12 and 22 with high torque brackets flipped upside down.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4687&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4688&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4689&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\"><strong>Observations<\/strong>:<\/span><\/p>\n<ul>\n<li><span class=\"text-secondary\">Myofunctional therapy was paying off, as the open bite had closed on the right side.<\/span><\/li>\n<li><span class=\"text-secondary\">The left side open bite showed further improvement. <\/span><\/li>\n<li><span class=\"text-secondary\">The root of 23 is almost 50% in the vestibulum. <\/span><\/li>\n<li><span class=\"text-secondary\">The lack of torque is evident, despite the correct bracket selection of retrocline on 12 and 22. Dr. Coca believes that maintaining wire progression and adding the 019\u00d7025 SS wire would have solved the problem.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Month 60<\/span><\/h4>\n<p><span class=\"text-secondary\">The results were unsatisfactory and the patient began losing interest in the treatment. Dr. Coca and the patient agreed to extend the treatment for six more months and then stop, regardless of the outcome.<\/span><\/p>\n<ul>\n<li><span class=\"text-secondary\">Rebond with Damon Ultima; Bite turbos on upper 7s; 014 CuNiTi; Owl (1\/4\u2019\u2019, 2 Oz) Class III; Parrot (5\/16\u2019\u2019, 2 Oz) Diagonal<br \/>\n<\/span><\/li>\n<li><span class=\"text-secondary\">Normalize tongue behavior while swallowing and at rest.\u00a0<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4690&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4691&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4692&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4693&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1729169909644{background-color: #f2f1ec !important;}&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Month 63<\/span><\/h4>\n<ul>\n<li><span class=\"text-secondary\">018&#215;0275 CuNiTi Upper; 014&#215;0275 CuNiTi Lower<\/span><\/li>\n<li><span class=\"text-secondary\">Kangaroo (3\/16\u2019\u2019, 4.5 Oz) Class III and Criss Cross left\u00a0<\/span><\/li>\n<li><span class=\"text-secondary\"> Fox (1\/4\u2019\u2019, 3.5 Oz) Class III right <\/span><\/li>\n<li><span class=\"text-secondary\">Eagle (5\/8\u2019\u2019, 2 Oz) Box during the day; Lama (5\/8\u2019\u2019, 3.5 Oz) Box at night<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4694&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4695&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4696&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4697&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<strong><span class=\"text-secondary\">Observations: <\/span><\/strong><\/p>\n<ul>\n<li><span class=\"text-secondary\">Root of 23 is no longer visible in the vestibulum.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Month 65<\/span><\/h4>\n<ul>\n<li><span class=\"text-secondary\">018&#215;0275 CuNiTi Upper and Lower <\/span><\/li>\n<li><span class=\"text-secondary\">Kangaroo (3\/16\u2019\u2019, 4.5 Oz) Class III during the day; Class III and Criss Cross at night <\/span><\/li>\n<li><span class=\"text-secondary\">Fox (1\/4\u2019\u2019, 3.5 Oz) Class III right; Fox (1\/4\u2019\u2019, 3.5 Oz) Diagonal <\/span><\/li>\n<li><span class=\"text-secondary\">Eagle (5\/8\u2019\u2019, 2 Oz) Box during the day; Lama (5\/8\u2019\u2019, 3.5 Oz) Box at night <\/span><\/li>\n<li><span class=\"text-secondary\">Hummingbird (1\/8\u2019\u2019, 2 Oz) Vertical during the day; Chipmunk (1\/8\u2019\u2019, 3.5 Oz) vertical at night<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4698&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4699&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4700&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1729169998401{background-color: #f2f1ec !important;}&#8221; el_class=&#8221;no-margin&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Month 67<\/span><\/h4>\n<ul>\n<li><span class=\"text-secondary\">Removal of braces <\/span><\/li>\n<li><span class=\"text-secondary\">Upper and Lower fixed retainer <\/span><\/li>\n<li><span class=\"text-secondary\">Upper Essix removable retainer to be used every second night.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1715597137844{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4701&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1715597128019{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4702&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1715597120885{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4703&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1715597113311{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4704&#8243; img_size=&#8221;full&#8221; alignment=&#8221;right&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4705&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4706&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4707&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4708&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4709&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1729169991432{background-color: #f2f1ec !important;}&#8221; el_class=&#8221;no-margin&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\">The teeth are in a very good position and the bone has reshaped.<\/span>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4710&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4711&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4712&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4713&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4714&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4715&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Comparison<\/span><\/h4>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1729169774254{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4716&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1729169780798{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4717&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1729169787979{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4718&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1729169795120{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4719&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1729169801780{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4720&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1729169808343{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4721&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1729169815199{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4722&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1729169822382{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4723&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<strong><span class=\"text-secondary\">Observations:<\/span><\/strong><\/p>\n<ul>\n<li><span class=\"text-secondary\">Improvements in midface support, smile, and facial profile<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1727081679723{background-color: #f2f1ec !important;}&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4><span class=\"text-secondary\">Month 7 &#8211; Follow Up <\/span><\/h4>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599968147{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4724&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715599975939{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4725&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715600094382{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4726&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\"><strong>Observations:<\/strong> <\/span><\/p>\n<ul>\n<li><span class=\"text-secondary\">Bite is settling nicely on the right side and improving on the left side.<\/span><\/li>\n<li><span class=\"text-secondary\">No crossbite relapse, despite the lack of posterior retention.<\/span><\/li>\n<li><span class=\"text-secondary\">Open bite is improving without the use of additional devices like tongue tamers.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221;][vc_row][vc_column][vc_column_text]<\/p>\n<h3><span class=\"text-secondary\">Overview<\/span><\/h3>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\">This case posed challenges in all three spatial dimensions, compounded by significant crowding. The patient was highly compliant and maintained excellent oral hygiene throughout the 5.5 years of treatment, which required more than 30 clinical appointments.<\/span><\/p>\n<p><span class=\"text-secondary\">The facial changes are impressive considering treatment involved only conventional orthodontics and not orthopedic interventions, TADs, or surgery.<\/span>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_row full_width=&#8221;stretch_row&#8221; el_class=&#8221;no-margin&#8221; css=&#8221;.vc_custom_1727081734983{background-color: #f2f1ec !important;}&#8221;][vc_column][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<h3><span class=\"text-secondary\">Lessons learned<\/span><\/h3>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]Dr. Coca concludes that improved biomechanical understanding of extreme crowding and torque management could have reduced treatment duration. From his experience, proper force management can facilitate bone remodeling, challenging the idea of bone limitations in orthodontics.<\/p>\n<p>Correcting muscle behavior during swallowing and in the passive state is key to solving open bite and crossbite as well as ensuring lasting stability of treatment outcomes.<\/p>\n<p>Dr. Coca believes that with his current experience and insights, he could have completed the case within three years.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;40px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<h3><span class=\"text-secondary\">Conclusions<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\">This case was a learning moment for Dr. Coca, reshaping his understanding of low-force, low-friction orthodontics (also known as Damon Philosophy) and highlighting the power of myofunctional therapy in achieving optimal treatment outcomes.<\/span><\/p>\n<p><span class=\"text-secondary\">The Damon Ultima\u2122 bracket system is an impressive feat of engineering, capable of delivering precise results in a short timeframe when used correctly. Traditional bone limitations in orthodontics can be challenged with any system that harnesses low, continuous forces, and this is where the Damon\u2122 family of products shines.<\/span><\/p>\n<p><span class=\"text-secondary\">The orthodontist\u2019s ability to significantly improve a patient\u2019s quality of life is remarkable, viewed from two standpoints:<\/span><\/p>\n<ol>\n<li><span class=\"text-secondary\"><strong>Aesthetics: <\/strong>improvements both dentally and facially.<\/span><\/li>\n<\/ol>\n<ol start=\"2\">\n<li><span class=\"text-secondary\"><strong>Functionality: <\/strong>better dynamic occlusion, mastication, and TMJ.<\/span><\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1716298635565{background-color: #0e1e4c !important;}&#8221; el_class=&#8221;no-margin&#8221;][vc_row][vc_column][vc_column_text el_class=&#8221;wpb_text_column&#8211;white&#8221;]<\/p>\n<h2>Interested in learning more about Damon Ultima?<\/h2>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner]<div class=\"vc_btn3-container vc_btn3-inline\">\n                                            <button type=\"button\" class=\"vc_general vc_btn3 vc_btn3-size-md vc_btn3-style-btn vc_btn3-color-primary\"\n                                                    data-toggle=\"modal\" data-target=\"#modal-schedule-a-demo-817\">Schedule a demo<\/button><\/div><div class=\"modal fade\" id=\"modal-schedule-a-demo-817\" tabindex=\"-1\"\n                                 aria-labelledby=\"schedule-a-demo-817\" aria-hidden=\"true\">\n                                <div class=\"modal-dialog modal-dialog-centered\">\n                                    <div class=\"modal-content content content--default\">\n                                        <div class=\"modal-header\">\n                                             <button type=\"button\" class=\"close\" data-dismiss=\"modal\" aria-label=\"Close\">\n                                                 <svg class=\"svg-icon\" style=\"fill: #666666; overflow: hidden;\" viewBox=\"0 0 1024 1024\"\n                                                      version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                                      <path d=\"M4.43392 97.36192l90.5088-90.5088 923.18976 923.18976-90.5088 90.5088-923.18976-923.18976ZM930.04288 4.43392l90.5088 90.5088-923.18976 923.18976-90.5088-90.5088 923.18976-923.18976Z\"\/>\n                                                 <\/svg>\n                                             <\/button><h2>Schedule a demo<\/h2>\n<\/div><div class=\"modal-body\"><script charset=\"utf-8\" type=\"text\/javascript\" src=\"\/\/js.hsforms.net\/forms\/v2.js\"><\/script>\n                                <script>\n                                    hbspt.forms.create({\n                                       portalId: \"\",\n                                       formId: \"c7fbac51-e133-4999-a3bb-6e3321e85923\",\n                                    });\n                                <\/script><\/div><\/div><\/div><\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][\/vc_section][vc_row][vc_column][vc_empty_space][vc_column_text css=&#8221;&#8221;]<span class=\"text-small\" data-teams=\"true\"><span class=\"ui-provider a b c d e f g h i j k l m n o p q r s t u v w x y z ab ac ae af ag ah ai aj ak\" dir=\"ltr\">MKT-24-1634<\/span><\/span><\/p>\n<p><span class=\"text-small text-secondary\">* Dr. Claudiu Coca is a paid consultant for Ormco. The opinions expressed are those of Claudiu Coca. Ormco is a medical device manufacturer and does not dispense medical advice. Clinicians should use their own professional judgment intreating their patients.<\/span>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_section][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]CASE REPORT Damon\u2122\u00a0Clear and Damon Ultima\u2122 &#8211; the history and lessons of a case with a 29 ABO score. [\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]A 27-year-old female patient presented with class III malocclusion, 15 mm crowding in the upper arch, an anterior open bite, a lateral crossbite, and a total ABO score of 29. Her facial [&hellip;]<\/p>\n","protected":false},"author":45,"featured_media":4393,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[44,45],"tags":[],"class_list":["post-4658","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-damon-clear","category-damon-ultima"],"acf":[],"_links":{"self":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts\/4658","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/users\/45"}],"replies":[{"embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/comments?post=4658"}],"version-history":[{"count":6,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts\/4658\/revisions"}],"predecessor-version":[{"id":4730,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts\/4658\/revisions\/4730"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/media\/4393"}],"wp:attachment":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/media?parent=4658"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/categories?post=4658"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/tags?post=4658"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}