Orthotown June 2019 - 47

CASE STUDY
An adult female patient had already
been presented treatment options
by her general dentist and another
orthodontist. She was interested only
in clear aligner therapy, and she was
concerned about scheduling visits
because of her busy life. She had a deep
bite, a deviated midline, mandibular
anterior crowding and rotations, and
some lingual rolling of her mandibular
molars (Fig. 1 and Fig. 5A, p. 50). It wasn't
the toughest case, but it was going to
require compliance with elastics, and
excellent tracking to correct her midline
and deep bite.
As a Damon Systems Certified Fig. 1: Initial presentation.
Educator, I've been using Ormco Damon
products for more than 18 years. Most
recently, I've been involved in previewing
the Ormco Spark clear aligner system in
the North America market, with more
than 60 cases completed or in treatment.
I recommended using Spark clear
aligners, referring to testimony from
other patients who had completed one
series of aligners created by another
manufacturer, then moved into Spark
refinement aligners. We've been told on
more than one occasion how smooth the
polished edges of Spark aligners felt at
the gum line, which could be particularly
helpful with this patient's deep bite.
Based on her interest in accelerated Fig. 2: Progress at second visit, after 9.5 weeks.
treatment, I also recommended the VPro+
HFV device, explaining how high-frequency vibration has helped my patients
change aligners more quickly with excellent tracking.

Treatment begins
At the patient's first follow-up visit (Fig. 2 and Fig. 5B, p. 50), the initial series
of 19 sequential aligners had been completed in 9.5 weeks. The maxillary arch was
significantly broadened, with slight omega remaining on maxillary right posterior.

orthotown.com \\ JUNE 2019

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Orthotown June 2019

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