Abstract:A modified approach is to place a mandibular 0.017" Â 0.025" flexible nickel-titanium archwire in the immediate presurgical period. Kobayashi ligatures may be placed on the brackets to facilitate intraoperative bimaxillary fixation. The splint is removed towards the end of the surgical procedure and the occlusion is checked for a solid three-point landing. Light bilateral box elastics are placed intraoperatively or directly after surgery, which will begin active extrusion immediately (Figs 1 and 2). DISCUSSION… Show more
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