CL II DIV 2 ,SEVERE CROWDING, DEEP-BITE, MISSING UR2, MICRODONTIC UL2 Treatment Information Patient: R.W Age: 43 Gender: F Invisalign Treatment Option: Full Case treated by : Dr Raman Aulakh BDS MSc Orth
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CL II DIV 2 ,SEVERE CROWDING, DEEP-BITE, MISSING UR2, MICRODONTIC UL2
Treatment Information
Patient: R.W Age: 43Gender: FInvisalign Treatment Option: Full
Case treated by : Dr Raman Aulakh BDS MSc Orth
Pre-treatment photos
Clincheck images [before and after]
CLINCHECK ANALYSIS
• Upper central incisors moved with torque, intrusion and retraction.
• Upper lateral incisor UL2 extruded combined with controlled tip.
• Expansion and change of square arch forms in both arches.
• Use of precision attachments as required to de-rotate, extrude and torque. Also used for anchorage in deep correction..
• Interproximal reduction of lower anterior teeth to control amount of lower incisor proclination and avoid extraction treatment. [0.2mm from mesial and distal of each contact point of LL3,LL2,LL1,LR1,LR2,LR3]
Precision Attachments Used
Pre – G5 case
Post-ortho photos
Smile improvement:pre-ortho, post-ortho, post-restorative
TREATMENT SUMMARY
Results Achieved:
• Overjet controlled.• Buccal occlusion maintained.• Crowding resolved
Total treatment time:• 24 months
Number of Aligners:• Maxillary: 37 + (R 13) • Mandibular: 31 + (R 10)
Comments:• Good aesthetic result with minimal
restorative work required afterwards.• Stability issue due to lower incisor
proclination • Recession concern: biotype limit • Anterior IPR limit reached.
Retention:• Maxillary:
Hawley retainer Fixed retainer 3-3
• Mandibular: Hawley retainer Fixed wire retainer 3-3
Thank you !
Dr Raman Aulakh BDS MSc Orth
Specialist OrthodontistPost-graduate Tutor [Aesthetic Dentistry]
Clinical Speaker Invisalign
www.ramanaulakh.com
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