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Re: Forestadent Travel Award

56 Rodney Street, Liverpool L1 9AD, U.K.

Dear Sir,

I would like to congratulate Mr Moseley on winning the Forestadent Travel Award, and on the excellent standard of presentation and treatment of the three cases presented. However, I note that none of the cases are shown at any length of time out of retention. This is not in any way meant as a criticism. I appreciate how hard it is to meet a deadline. Nevertheless, it is always interesting to see cases out of retention. Relapse can occur and I would think that the third case presented would be prone to relapse.

Let us hope none of the cases have relapsed, but either way it would be very interesting to know, since Mr Moseley has clearly done everything in his power to make a success of treatment. Can we have an update please.

Yours sincerely

Dear Sir,

I would like to thank Dr Atherton for his interest and observations concerning the treatment of the cases presented for this award. I am assuming that the comment stating the possibility of future relapse of the result obtained for the third case relates to either:

1. changes in incisor alignment; or
   
2. stability of the open bite closure, achieved by a combination of second molar extraction, vertical growth modification, and a small amount of lower incisor extrusion.
   

At the most recent review of this patient, aged 17 years, the open bite had remained stable. She was continuing to wear removable retainers on a part-time basis to maintain incisor alignment. This decision reflected her excellent compliance with regard to appliance wear during active treatment and, ideally, should continue at least until third molars have completed eruption. I appreciate that this level of cooperation may not be achievable for all patients presenting with a similar malocclusion. My clinical impression was that facial growth was complete at the end of active treatment.

A variable degree of post-treatment change in alignment and occlusal relationships can be identified in the majority of cases that present with a significant malocclusion. If the long-term result following treatment is a stable occlusion that is aesthetically acceptable, I would not consider that this constitutes post-treatment relapse.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Atherton, J. D. Articles by Moseley, H. C. Search for Related Content PubMed PubMed Citation Articles by Atherton, J. D. Articles by Moseley, H. C.