The limitations of orthodontics

In some cases, it will become evident during treatment planning that there are major limiting features, such as skeletal disproportion, which cannot be resolved by orthodontics alone. It is important to identify such cases, and consider a surgical/orthodontic solution in order to achieve an acceptable PIP. If there are major limiting features, it is normally better not to commence treatment on the basis of orthodontics alone. In such cases, there is a probability of adverse facial change, due to an unacceptable end of treatment incisor position, as a consequence of attempting to achieve a 'better bite' only.

Dr G. William Arnett

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