DentaltownUK April 2018 - 16

Treatment
Table 3:
Appointment

Stage

* Upper and lower impressions taken.
* Bite registration taken.

* Started ClearSmile Inman Aligner treatment; patient shown
how to insert and remove appliance, and advised to wear
between 16 and 20 hours a day.
* Oral and appliance hygiene instructions were given.
* Placed composite anchor on the buccal surface of the upper
right lateral incisor with the aim to keep the aligner bow in
place for more efficient tooth movement.
* No interproximal reduction (IPR) at this stage.

* Patient was seen for a check-up to review compliance and
monitor tooth movement. Models were used as a reference to
show progress.
* Aligner bow and springs were checked for function.

* Function of the appliance and movement checked again.
* IPR carried out distally on UL1 and mesially and distally on
UL2 using yellow strips (0.08mm), followed by polishing and
application of topical fluoride.

* The patient was informed of the protocol for retention.
* Upper and lower impressions were taken in putty/wash
material for a custom made fixed lingual retainer.
* A record of the bite was also taken.

* Composite anchor removed from upper right lateral incisor.
* Fixed lingual retainer fitted with composite.
* Guidance given on the importance of retention and advised to
keep the ClearSmile Inman Aligner appliance in case relapse
occurs in the future.
* Appointment made with the hygienist.

Fig. 13: Posttreatment, lips at rest.

Fig. 14: Posttreatment, right view.

Fig. 15: Posttreatment, left view.

Fig. 16: Posttreatment, retracted.

Fig. 17: Posttreatment, upper anteriors.

Self-appraisal

Fig. 18: Posttreatment, upper occlusal.

Fig. 19: Posttreatment, lower occlusal.

APRIL 2018 // dentaltownuk.com

Because the patient's concerns were
addressed and her smile was improved with
minimal tooth reduction, I am pleased with
the outcome of the case.
The aim had been to complete the case
without any tooth reduction, but to close
or reduce the black triangle toward the
interproximal area of the upper central
incisors, a small amount of IPR was necessary

(to which the patient consented). The patient
was very happy with the final result and can
now smile with confidence.
In a review 10 days after the completion of
the treatment, the patient had adapted to the
fixed retainer well and had not reported any
complications or discomfort. The retention
will continue to be monitored to ensure no
further orthodontic treatment is required
in the future. ■

References
*
Qureshi T, Bradstock-Smith T et al. The Inman Aligner Clinical Manual (2nd edition). Straight Talk Seminars/ Inman Aligner, 2013.
1.
Mitchell L. "An introduction to Orthodontics" (9th edition). Oxford 2013.
2.
Qureshi T. "The Inman Aligner for Anterior Tooth Alignment". Dental Update 2008; 35: 377-384.
3.
Noar JH, Sharma S, Roberts-Harry D and Qureshi T. "A Discerning Approach to Simple Aesthetic Orthodontics". BDJ Vol 218 no.3
Feb 2015.
4.
Dawson PE. "Functional occlusion: From TMJ to smile design". Mosby publishers, 2007.

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Table of Contents for the Digital Edition of DentaltownUK April 2018