DentaltownUK May 2017 - 32

Treatment planning
Full mouth photographs were taken, study
models created and Spacewize+ arch evaluation
software used to calculate the amount of
crowding present. It was clear at this point
that both arches would need to be treated to
achieve the desired result.
All possible treatment options were discussed
with the patient, including ClearSmile Aligner,
ClearSmile Inman Aligner or referral to an
orthodontist for gold standard specialist
treatment. The patient was uninterested in
fixed braces because of their appearance and
was concerned only with the anterior arch
alignment. After researching the different
methods suggested, she decided that the
ClearSmile Inman Aligner might be too bulky
and affect her speech too much. The patient
therefore opted for the ClearSmile Aligner 2.0,
as this seemed the least intrusive.
The technique involved, estimated treatment length and the process of interproximal
reduction (IPR) and predictive proximal
reduction (PPR) was fully demonstrated and
explained to the patient at this point, who was
keen to go ahead with ClearSmile Aligner 2.0
treatment for both the upper and lower arch.
The limitations of the treatment modality were
highlighted, including gingival levels and the
potential for uneven incisal tips, which could
be bonded at the end of treatment. The need
for long-term retention was also discussed at
this initial stage and photographs of a bonded
retainer and Essix retainer were shown to the
patient.
Silicone impressions were taken using a
two-stage technique with a thin polythene
spacer. The impressions were sent to the lab
for an Archwize evaluation and 3-D printed
models to show the patient at the next visit. This
is an invaluable step in the process, because it
enables the patient to see the predicted results

32

MAY 2017 // dentaltownuk.com

Fig. 4

and discuss any compromises to treatment such
as centre lines, overjet/overbite and possible
black triangles.
The printed models and Archwize analysis
were shown to the patient and she was happy
to proceed. Treatment was estimated to take
24 weeks to complete, with 0.3 millimeters

of IPR required in the upper arch and 3.5mm
IPR in the lower. The lab was instructed to
proceed with fabrication of the appliances.

Treatment provision
During the fit appointment, force drivers
were bonded to the lower 4's using the template

Problem list
Mild upper crowding
Moderate lower crowding
Lingually placed, overerupted and
discoloured lower left lateral
Uneven incisal edges
Shortened upper right central
Rotated upper left lateral
Ideal treatment aims
Align both upper and lower arch
Whitening
Composite edge bonding
Fig. 5

Compromised treatment aims
Alignment of the anterior segments only


http://www.dentaltownuk.com

Table of Contents for the Digital Edition of DentaltownUK May 2017

On Dentaltown.com
Mike Gow Editorial
Meet the Team
Howard Speaks
Dental Aid Network
Titanium vs. Zirconia Implants
NASDAL Goodwill
Golden Nuggets
Orthodontist Case Study
Poll—Pediatric Dentistry
Technology: The True Foundation of Your Practice
Continuing Education
Timeout: Chris Barrow
Progressive Bites
Walt Disney's Hollywood Smiles
Dental Imaging: Elaine Halley
MANAGING SYSTEMIC DISORDER: STEPHEN HUDSON
The Art of Diagnosis in Endodontics
MESSAGE BOARD: 2nd Distal Root on 36
Social Media Fails
Operation Smile
THROUGH THE KEYHOLE: SURGERY— HOME AND AWAY
Lifestyle Section
History of Dentistry
Student Section
Wish List
DentaltownUK May 2017 - 1
DentaltownUK May 2017 - 2
DentaltownUK May 2017 - 3
DentaltownUK May 2017 - 4
DentaltownUK May 2017 - On Dentaltown.com
DentaltownUK May 2017 - Mike Gow Editorial
DentaltownUK May 2017 - 7
DentaltownUK May 2017 - 8
DentaltownUK May 2017 - 9
DentaltownUK May 2017 - Meet the Team
DentaltownUK May 2017 - 11
DentaltownUK May 2017 - Howard Speaks
DentaltownUK May 2017 - 13
DentaltownUK May 2017 - Dental Aid Network
DentaltownUK May 2017 - 15
DentaltownUK May 2017 - 16
DentaltownUK May 2017 - 17
DentaltownUK May 2017 - 18
DentaltownUK May 2017 - 19
DentaltownUK May 2017 - 20
DentaltownUK May 2017 - 21
DentaltownUK May 2017 - Titanium vs. Zirconia Implants
DentaltownUK May 2017 - 23
DentaltownUK May 2017 - 24
DentaltownUK May 2017 - NASDAL Goodwill
DentaltownUK May 2017 - 26
DentaltownUK May 2017 - Golden Nuggets
DentaltownUK May 2017 - 28
DentaltownUK May 2017 - 29
DentaltownUK May 2017 - 30
DentaltownUK May 2017 - Orthodontist Case Study
DentaltownUK May 2017 - 32
DentaltownUK May 2017 - 33
DentaltownUK May 2017 - Poll—Pediatric Dentistry
DentaltownUK May 2017 - 35
DentaltownUK May 2017 - Technology: The True Foundation of Your Practice
DentaltownUK May 2017 - 37
DentaltownUK May 2017 - 38
DentaltownUK May 2017 - 39
DentaltownUK May 2017 - 40
DentaltownUK May 2017 - 41
DentaltownUK May 2017 - Continuing Education
DentaltownUK May 2017 - 43
DentaltownUK May 2017 - 44
DentaltownUK May 2017 - 45
DentaltownUK May 2017 - Timeout: Chris Barrow
DentaltownUK May 2017 - 47
DentaltownUK May 2017 - Progressive Bites
DentaltownUK May 2017 - 49
DentaltownUK May 2017 - 50
DentaltownUK May 2017 - 51
DentaltownUK May 2017 - 52
DentaltownUK May 2017 - 53
DentaltownUK May 2017 - Walt Disney's Hollywood Smiles
DentaltownUK May 2017 - 55
DentaltownUK May 2017 - 56
DentaltownUK May 2017 - 57
DentaltownUK May 2017 - 58
DentaltownUK May 2017 - 59
DentaltownUK May 2017 - 60
DentaltownUK May 2017 - 61
DentaltownUK May 2017 - Dental Imaging: Elaine Halley
DentaltownUK May 2017 - 63
DentaltownUK May 2017 - 64
DentaltownUK May 2017 - 65
DentaltownUK May 2017 - 66
DentaltownUK May 2017 - 67
DentaltownUK May 2017 - MANAGING SYSTEMIC DISORDER: STEPHEN HUDSON
DentaltownUK May 2017 - 69
DentaltownUK May 2017 - The Art of Diagnosis in Endodontics
DentaltownUK May 2017 - 71
DentaltownUK May 2017 - 72
DentaltownUK May 2017 - 73
DentaltownUK May 2017 - MESSAGE BOARD: 2nd Distal Root on 36
DentaltownUK May 2017 - 75
DentaltownUK May 2017 - Social Media Fails
DentaltownUK May 2017 - 77
DentaltownUK May 2017 - Operation Smile
DentaltownUK May 2017 - 79
DentaltownUK May 2017 - 80
DentaltownUK May 2017 - 81
DentaltownUK May 2017 - THROUGH THE KEYHOLE: SURGERY— HOME AND AWAY
DentaltownUK May 2017 - 83
DentaltownUK May 2017 - Lifestyle Section
DentaltownUK May 2017 - 85
DentaltownUK May 2017 - 86
DentaltownUK May 2017 - 87
DentaltownUK May 2017 - 88
DentaltownUK May 2017 - 89
DentaltownUK May 2017 - 90
DentaltownUK May 2017 - 91
DentaltownUK May 2017 - 92
DentaltownUK May 2017 - 93
DentaltownUK May 2017 - 94
DentaltownUK May 2017 - History of Dentistry
DentaltownUK May 2017 - Student Section
DentaltownUK May 2017 - 97
DentaltownUK May 2017 - 98
DentaltownUK May 2017 - 99
DentaltownUK May 2017 - 100
DentaltownUK May 2017 - 101
DentaltownUK May 2017 - 102
DentaltownUK May 2017 - 103
DentaltownUK May 2017 - Wish List
DentaltownUK May 2017 - 105
DentaltownUK May 2017 - 106
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