Orthotown October 2016 - 59


Case Presentation 2

Fig. 3

A 25-year-old patient with a Class
I dental occlusion presented with mild
upper and lower crowding (1-2mm), 20
percent overbite, and 2-3mm overjet.
She had a history of trauma on upper
centrals, resulting in a shortened root on
tooth 9 (Fig. 3).
As with Case 1, treatment was
initiated with Invisalign and VPro5
to establish an ideal alignment and
overjet reduction. Patient requested
accelerated orthodontics to achieve her
goal of finishing treatment in six months,
before her wedding.
After constructing a ClinCheck to
achieve arch expansion (1-2mm), anterior
alignment and upper slenderization
(IPR) to reduce the excessive overjet,
her final number of aligners were 24
upper and 24 lower. Aligners 1-12 were
delivered along with the cooperation and
instruction acknowledgement contract
(in-house form). Because of a wedding time
constraint, I placed her attachments and
delivered VPro5 at the first appointment.
My usual protocol is to deliver the
first aligner and then see the patient two
weeks later for attachment placement.
This allows the patient to gradually
get into treatment without creating an
overwhelming situation of aligner delivery,
IPR and attachment placement. (Clearly,
this is a personal preference for my offices.)
The patient was instructed to switch
out every 5-7 days, using VPro5 for five
minutes in the morning or night with
the aligners in the mouth, while wearing
the aligners 20 hours per day. Aligners
13-24 were delivered 12 weeks later with
the continual progression of 5-7 days
per aligner.
Her treatment was completed without
a case refinement in just under six months,
compared to the normal 12 months needed
for switching out aligners every 14 days.
She was thrilled to fi nish treatment a
week before her wedding, becoming a
wonderful referral source championing
this accelerated orthodontic technique
(Fig. 4, pg. 60).

orthotown.com \\ OCTOBER 2016

59


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Table of Contents for the Digital Edition of Orthotown October 2016

Orthotown.com Highlights
Embrace Progress: What’s In Your Records?
New Products
Poll
Message Boards: HSD/Invisalign/Adult
Message Boards: Phase 1: Anterior Crossbite and Crowding
Interdisciplinary Ortho-Perio Treatment of Excessive Gingival Display
Creating a Strong Scheduling Architecture
Indirect Bonding: A Closer Look
Indirect Bonding: The Tech Effect
Welcome to Digital Orthodontics
Good Vibrations
Ad Index
Orthotown October 2016 - Cover1
Orthotown October 2016 - Cover2
Orthotown October 2016 - 1
Orthotown October 2016 - 2
Orthotown October 2016 - 3
Orthotown October 2016 - 4
Orthotown October 2016 - 5
Orthotown October 2016 - Orthotown.com Highlights
Orthotown October 2016 - 7
Orthotown October 2016 - Embrace Progress: What’s In Your Records?
Orthotown October 2016 - 9
Orthotown October 2016 - New Products
Orthotown October 2016 - 11
Orthotown October 2016 - Poll
Orthotown October 2016 - 13
Orthotown October 2016 - Message Boards: HSD/Invisalign/Adult
Orthotown October 2016 - 15
Orthotown October 2016 - 16
Orthotown October 2016 - 17
Orthotown October 2016 - Message Boards: Phase 1: Anterior Crossbite and Crowding
Orthotown October 2016 - 19
Orthotown October 2016 - 20
Orthotown October 2016 - 21
Orthotown October 2016 - 22
Orthotown October 2016 - 23
Orthotown October 2016 - 24
Orthotown October 2016 - 25
Orthotown October 2016 - 26
Orthotown October 2016 - 27
Orthotown October 2016 - Interdisciplinary Ortho-Perio Treatment of Excessive Gingival Display
Orthotown October 2016 - 29
Orthotown October 2016 - 30
Orthotown October 2016 - 31
Orthotown October 2016 - 32
Orthotown October 2016 - 33
Orthotown October 2016 - 34
Orthotown October 2016 - 35
Orthotown October 2016 - Creating a Strong Scheduling Architecture
Orthotown October 2016 - 37
Orthotown October 2016 - 38
Orthotown October 2016 - 39
Orthotown October 2016 - Indirect Bonding: A Closer Look
Orthotown October 2016 - 41
Orthotown October 2016 - 42
Orthotown October 2016 - 43
Orthotown October 2016 - Indirect Bonding: The Tech Effect
Orthotown October 2016 - 45
Orthotown October 2016 - 46
Orthotown October 2016 - 47
Orthotown October 2016 - 48
Orthotown October 2016 - 49
Orthotown October 2016 - Welcome to Digital Orthodontics
Orthotown October 2016 - 51
Orthotown October 2016 - 52
Orthotown October 2016 - 53
Orthotown October 2016 - Good Vibrations
Orthotown October 2016 - 55
Orthotown October 2016 - 56
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Orthotown October 2016 - 58
Orthotown October 2016 - 59
Orthotown October 2016 - 60
Orthotown October 2016 - Cover4
Orthotown October 2016 - Ad Index
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