Ortho Playbook Library
Orthodontic Fixed Appliance Case Walkthroughs
by Dr Ib
The Ortho Playbook Library is a curated collection of orthodontic fixed appliance case walkthroughs, breaking down real clinical decisions, mechanics and step-by-step treatment plans.
These cases are documented by Dr Ib, a specialist orthodontist and mentor who focusing on real-world decision-making in fixed appliance orthodontics.
"My mission is to empower dentists who are serious about fixed appliances by helping you develop the most important skill in orthodontics... decision-making. So you can build unshakable confidence and create smiles that you're proud of without the fear of getting wrong."
Dr Ib Rominiyi
Specialist Orthodontist & Mentor
Subscribe For New Cases
Confidence Boost
Learn how to make the right decision at the right time
"Really clear and repeatable treatment planning. Has really helped me organise how I approach a case and then plan the treatment. This has in turn helped me more confidently take on more complex cases. Also knowing I have the support and advice behind me if I get stuck.."
- Rebecca, (Dentist, UK)
No More Fear
Stop guessing. Start planning with certainty
C A S E 1
Class 1: Upper spacing, lower mild crowding
Plan: Non-extraction, U+L fixed appliances, retain
C A S E 2
Class 1: U+L mild crowding, anterior open bite (AOB)
Plan: Non-extraction, U+L fixed appliances, AOB mechanics, retain
C A S E 3
Class 1: U+L spacing, crossbite, reduced overbite
Plan: Non-extraction, U+L fixed appliances, crossbite + AOB mechanics, retain
C A S E 4
Class 1: Upper severe, lower mild crowding, deep bite
Plan 1: Extract U3s, U+L fixed appliances, deep bite mechanics, retain
Plan 2: TPA nance, extract U4s, U+L fixed appliances, deep bite mechanics, retain
Next month...
C A S E 5
Class 2: Mild crowding, deep bite, buccal segments ½ 2
Plan 1: Non-extraction, U+L fixed appliances, deep bite mechanics, C2 mechanics, retain - Compromise result
Plan 2: Extract U4s, U+L fixed appliances, deep bite mechanics, retain - Ideal result
M E N T O R I N G M O M E N T
#1
Dentist's Question: I'm currently in upper 19x25N, lower 18x25S and the lateral open bites and centrelines are getting worse.
How would you improve the bite?
What mechanics & archwires would you use from here?
Search the Library
In this full case walkthrough video, you will see my go to mechanics for managing a crossbite with fixed appliances. You'll also see how I manage class I cases with generalised spacing to get a predictable results that patients love. In the video I share the reasons behind my decisions and below I'v...
In this video you'll see a full case walkthrough showing the mechanics I love to use to manage an anterior openbite (AOB) plus how I manage a posterior crossbite tendency affecting the upper second premolars. I'll explain the reasons behind every choice so you can apply good reasoning to your cases....
Disclaimer:
The information shared on this website and by our coaches is intended for educational purposes only and is designed for dental professionals. It’s not medical or dental advice and isn’t a substitute for your own clinical judgment or experience. We don’t offer treatment planning, official assessments, diagnoses, or treatment plans. Everything we provide — whether advice, coaching, or mentoring — is to support your learning and professional development. As a healthcare professional, you are responsible for using your own expertise, acting within your scope of practice, and making decisions in the best interest of your patients. You use any information provided at your own discretion, and we cannot take responsibility for patient care or outcomes based on this educational material.
Thank you for your commitment to high standards and patient care — we're here to support your growth, not to replace your clinical judgment.