Orthotown August 2018 - 31

Fig. 3: The clear aligner, with the attachments in place,
was seated and light-cured using an LED curing light.

planning than using traditional impression
materials and stone models. 8 Once the
scans were taken, they were reviewed on
screen, after which the aligner software
manipulated the scans to demonstrate how
the patient's teeth would move during the
course of treatment.
The software also showed the anticipated
treatment outcome, determined the number
of aligners necessary to produce each specified
movement, and showed where attachments
and interproximal reduction would be
needed. Individual aligners usually move
teeth an average of 0.2mm inclination and/
or 1 degree rotation.9
At this time the patient was inquisitive
and asked what the difference would be
between clear aligner treatment from an
orthodontist and at-home aligner solutions
via an online aligner company that lets
patients take traditional impressions at home
and send them to the company to receive
less-expensive aligners. She was informed that
the thorough examination and diagnostic
plan determined that her specific alignment
issues required the use of attachments and

Fig. 4: The attachment template was carefully removed,
leaving only the attachments bonded to the tooth structure.

interproximal reduction to create space for
proper tooth alignment, optimal function,
stability and aesthetics. It was also explained
that the basis of the orthodontic practice
was discussing and providing information
about all alternatives for patients to make
the best treatment decisions and achieve
the best possible results.
Three treatment options were presented
and discussed:
1. Clear aligners with interproximal
reduction to improve alignment,
normalize Bolton discrepancy and
eliminate the need for further dental
work (i.e., veneers).
2. Preprosthetic alignment with clear
aligner therapy, in combination with
aesthetic maxillary anterior bonding.
3. Prosthodontic treatment to enhance
smile aesthetics with no orthodontic
treatment.
The patient selected Option 1.

Aligner fabrication
Based on the consultation, the computerized treatment plan was finalized, and

orthotown.com \\ JULY/AUGUST 2018

31


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Table of Contents for the Digital Edition of Orthotown August 2018

Orthotown August 2018 - Cover1
Orthotown August 2018 - Cover2
Orthotown August 2018 - 1
Orthotown August 2018 - 2
Orthotown August 2018 - 3
Orthotown August 2018 - 4
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