case study...case study clinical notes • skeletal open bite • 8mm open bite • posterior...
Post on 12-Apr-2020
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DEMOGRAPHICS DIAGNOSIS TREATMENTTIMEMECHANICS
CASESTUDY
MALE24YEARSOLD
CLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY
18MONTHSACCELEDENTUSESTARTINGATSTAGE17
CourtesyofDr.BellaShenGarnett
INVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS
2016INVISALIGN
CASESHOOTOUTWINNER
CASESTUDY
CourtesyofDr.BellaShenGarnett
BASELINEPatientChiefConcern:
“IwanttoclosemyopenbiteandIhaveamissingtoothandIamalsomissingalowerincisor”
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY
MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS
TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17
CASESTUDY
CourtesyofDr.BellaShenGarnett
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY
MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS
TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17
CASESTUDY
CLINICALNOTES• Skeletalopenbite• 8mmopenbite• Posteriorcrossbiteright&left• ClassIIImolars• Supernumerarytooth
SupernumeraryTooth
MissingaLowerIncisor
CourtesyofDr.BellaShenGarnett
• Missingalowerincisor• Mandibularasymmetrytotheright• Mandibularocclusalcantdowntotheright• Upperincisorshigherontheright• Tonguethrustpresent
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY
MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS
TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17
CASESTUDY
CourtesyofDr.BellaShenGarnett
TreatmentObjectivesInclude:• Levelandalignteeth• Eliminatetonguethrust• Intrudeposteriorteethtoclose
downthebite• Extrudetheupperrightanterior
teeth• Extractsupernumerarytooth• Openspacetobondpeglateral• IPRtohelpdecreaseoverjet• Closespacetodecreaseprotrusion• Achievesomerelativeextrusiontoclosedownbite• Improvefunctiontoeat
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY
MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS
TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17
CASESTUDY
CourtesyofDr.BellaShenGarnett
Progressataligner21/30
StartedClassIIIelasticswithaligner#10
StartedusingAcceleDentwithaligner#17
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY
MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS
TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17
CASESTUDY
CourtesyofDr.BellaShenGarnett
PRE-REFINEMENTPROGRESS30/30ALIGNERS
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY
MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS
TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17
CASESTUDY
CourtesyofDr.BellaShenGarnett
FINISH
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY
MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS
TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17
CASESTUDY
CourtesyofDr.BellaShenGarnett FINISH
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY
MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS
TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17
CASESTUDY
And…there’smoretothisstory.Hehasatwinbrother!
“Mybrotherlooksamazing.Iwantthesamesmile!”
CASESTUDY
CourtesyofDr.BellaShenGarnett
BASELINE
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT
MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE
TREATMENTTIME17MONTHS
CASESTUDY
CourtesyofDr.BellaShenGarnett
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT
MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE
TREATMENTTIME17MONTHS
CASESTUDY
CourtesyofDr.BellaShenGarnett
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT
MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE
TREATMENTTIME17MONTHS
FINISH
CASESTUDY
CourtesyofDr.BellaShenGarnett
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT
MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE
TREATMENTTIME17MONTHS
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