Top Banner
DEMOGRAPHICS DIAGNOSIS TREATMENT TIME MECHANICS CASE STUDY MALE 24 YEARS OLD CLASS III MILD SPACING OPEN BITE EXCESSIVE OVEJET CONVEX PROFILE OCCLUSAL CANT MIDLINE DISCREPANCY 18 MONTHS ACCELEDENT USE STARTING AT STAGE 17 Courtesy of Dr. Bella Shen Garnett INVISALGN® 49 TOTAL ALIGNERS U: 30+12+11+14 L: 30+12+11+14 7 DAY ALIGNER CHANGE ELASTICS 2016 INVISALIGN CASE SHOOTOUT WINNER
14

CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

Apr 12, 2020

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

DEMOGRAPHICS DIAGNOSIS TREATMENTTIMEMECHANICS

CASESTUDY

MALE24YEARSOLD

CLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

18MONTHSACCELEDENTUSESTARTINGATSTAGE17

CourtesyofDr.BellaShenGarnett

INVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

2016INVISALIGN

CASESHOOTOUTWINNER

Page 2: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

BASELINEPatientChiefConcern:

“IwanttoclosemyopenbiteandIhaveamissingtoothandIamalsomissingalowerincisor”

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 3: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 4: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

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

Page 5: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

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

Page 6: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

Progressataligner21/30

StartedClassIIIelasticswithaligner#10

StartedusingAcceleDentwithaligner#17

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 7: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

PRE-REFINEMENTPROGRESS30/30ALIGNERS

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 8: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

FINISH

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 9: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett FINISH

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 10: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

And…there’smoretothisstory.Hehasatwinbrother!

“Mybrotherlooksamazing.Iwantthesamesmile!”

Page 11: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

BASELINE

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT

MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE

TREATMENTTIME17MONTHS

Page 12: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT

MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE

TREATMENTTIME17MONTHS

Page 13: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT

MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE

TREATMENTTIME17MONTHS

FINISH

Page 14: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT

MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE

TREATMENTTIME17MONTHS