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Clarification on Treatment Objective HOLD
Hi,
Just wanted a little clarification for terminology.
When a Tx Objective is to “HOLD” — does this mean we still expect normal growth changes and it’s just a matter of preventing any treatment effects?
AKA for a high angle growing patient, we should control the vertical and so our tx objective may be to “HOLD” vertical position of molars, but does this mean we’d still expect the molars to erupt with their normal hyperdivergent growth tendencies and instead we are just being mindful not to do anything treatment-wise that would worsen the vertical? Would it be better to put “intrude” molars instead of writing “HOLD” as a tx objective in this instance so that there could be an actual influence of minimizing hyperdivergent tendencies, or is it a bad idea to write both (aka you’d definitely want vertical control, but even better than that would be some active treatment mechanics to influence pattern of growth)?
Thanks
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1 Reply
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Daniel,
Good question.
All great ideas and here are my thoughts:
ALLOW NORMAL GROWTH = just accept whatever happens, great for our good growing Class IIs
EXTRUDE = have a treatment effect that is more than what growth could do on it’s own
INTRUDE = intrude from current position which can be in addition to holding
HOLD = prevent growth or movement of the tooth – this is real fight in the vertical. So I’m going to hold as much as I can and then possibly get some intrusion as well.
MESIALIZE / DISTALIZE = could be same interpretation in relation to growth for the AP – so you may want a molar to erupt vertically as normal but you want to hold it’s AP position.
Does that help answer your question?
Thanks!
Carter
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