Dentaltown July 2017 - 71

"I'm not going to wear braces and look like one
of my kid's friends." - a 44-year-old patient

four weeks, at her request, and removed
the lower braces in four months. The
positioning of her lower teeth on the
day of the braces removal and scan for
refinement are pictured in Fig. 7. The
patient had five regular appointments
and two emergency appointments for
poking wires.
Her lower teeth (Figs. 8 and 9)
show the superimposition after the
13 aligners estimated to correct the
teeth position after braces. Most of
the changes appear to be constricting
the teeth to coordinate them with the
upper arch.

Fig. 11

Fig. 10

Patient 3:

A combo case
from the start
For this 46-year-old male, we presented the only option of
treatment as being lower braces and upper aligners for four to five
months, followed by full-mouth aligner therapy. His initial crowding
can be seen in Fig. 10. After five months of braces and two wires
(0.013 and 0.014), we removed the braces, scanned for a refinement
and placed a lower bonded 3-3 to hold the teeth until his aligners
arrived. The position of the lower teeth on the day of the scan can
be seen in Fig. 11.

Discussion
Using short-term braces to correct crowding and rotations and
clear aligners to detail the teeth and occlusion can be an effective
way to manage an adult patient's care while continuing to motivate
him or her throughout treatment.
Although this technique can be used reactively to treat poor
compliance or difficult movements after clear aligner therapy
has started, it's more efficient when done proactively, as part of a
comprehensive combination treatment method.
Promising four to five months of braces is usually an acceptable
amount of time for adult patients who want the benefits of instant
gratification and a clear treatment method. In fact, it has become
an important and requested procedure in our office. We simply tell
patients to say, "Make mine a combo." ■

FREE FACTS, circle 8 on card

dentaltown.com \\ JULY 2017

71



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Table of Contents for the Digital Edition of Dentaltown July 2017

Dentaltown July 2017 - Intro
Dentaltown July 2017 - Cover1
Dentaltown July 2017 - Cover2
Dentaltown July 2017 - 1
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