Orthotown August 2018 - 30
Fig. 1: The teeth were isolated using a soft,
flexible and latex-free lip and cheek retractor.
Fig. 2: Bonding agent was applied to the teeth where attachments
would be placed according to the manufacturer's instructions.
Case presentation
A 46-year-old patient presented for
a secondary consultation after receiving
a quote for clear aligners from a general
dentist, and she wanted another opinion.
Ten years earlier, she was informed during a
consultation that she was not a candidate for
clear aligners, so she chose not to undergo
orthodontics altogether. A professional in the
dental industry, the patient said her primary
concerns were spacing and overlapped teeth,
and she specifically stated that she wanted
a straighter smile without undergoing fixed
prosthodontics.
During the consultation, it was determined that the patient had a mild overjet and
mild overbite. There were spaces between
the maxillary teeth and mild crowding in
the mandibular arch. Both maxillary and
The technology has improved greatly in the past decade,
and now, virtually all orthodontic issues that previously
could be achieved only with ceramic or metal appliances
can be corrected with clear aligners.
30
JULY/AUGUST 2018 // orthotown.com
mandibular teeth shifted to the right. The
patient had a Bolton tooth size discrepancy,
where the maxillary incisors were narrow
and the lower incisors were wide. The patient
also had worn incisal edges on teeth #24
and #25. Oral hygiene was excellent, the
skeletal profile was convex and there was
no evidence of temporomandibular joint
dysfunction.
Treatment planning
CAD/CAM dental technologies were
used to perform a diagnostic examination,
outline a digital treatment plan for progressive tooth movements and visualize the
anticipated treatment outcome. With clear
aligners, the basis for treatment is a virtual
model; therefore, the patient's maxillary and
mandibular teeth and arches were scanned
using an iTero Element intraoral scanner to
capture digital impressions of the patient's
pretreatment condition.
Digital impressions and the software
used to plan the patient's tooth movement,
along with the doctor's experience, determine
if composite is more accurate for treatment
http://www.orthotown.com
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
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Orthotown August 2018 - Cover3
Orthotown August 2018 - Cover4
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