Rotating Bicuspids with Horizontal Attachments
Many of you ask:
Should I de-rotate bicuspids first and then extrude them later?
Sometimes we have competing concerns for our patients. For example, we may have rotated bicuspids on a patient who also has a deep curve of spee and deep anterior bite.
So, the question becomes: will the horizontal attachments still correct the rotated bicuspids? The answer involves understanding and taking advantage of the value of the occlusal surface anatomy of the bicuspids to support simultaneous extrusion and rotation.
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