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- Resolve C.II by sequential distalisation of both quadrants. The upper midline should be shifted 1 mm to the right, further distalisation of the 1st quadrant being necessary. If right C.II cannot be resolved by upper distalisation alone, make virtual jump of the lower arch.
- The upper midline, once shifted to the right, shall be taken as a reference for centring the lower midline. This centring shall be done by means of a virtual jump of the lower arch.
- To equalise the number of active aligners in both arches, coordinating the movements in such a way as to avoid overlaps between the premolars and molars of both arches.
- Place buttons on upper canines and lower first molars.
- Make necessary lower IPR (3 to 3) to resolve the Bolton discrepancy and end up with 1 mm of anterior protrusion.
- Expand 1.5 mm in the 2nd and 3rd quadrant and 1 mm in the 1st and 4th quadrant, using coronovestibular inclination as far as possible, without exceeding 0º torque in the upper arch, and finishing with cuspid-fossa gearing in premolars and molars.
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Question 1 of 1
1. Question
Write a list of at least 6 instructions that you would request in the initial prescription for this case:
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