Treatment with the SPEED System™ - Class I Non-Extraction 6 Cephalogram Ceph Tracing Panorex Treatment Record: SPEED brackets were bonded 7-7 in the upper arch. In the lower arch, SPEED brackets were bonded 5-5, with SPEED buccal tubes bonded to the lower molars. Metal anterior bite ramps were bonded to the upper centrals at the initial bonding appointment to prevent interference between the upper incisors and lower anterior SPEED brackets. Use of metal anterior bite ramps has since been discontinued in my practice. My current preference is to build a composite bite shelf on the lingual surface of the central incisors in cases where posterior extrusion is required to increase lower facial height and correct overbite while preventing traumatic occlusion.
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