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
![Analysis and Identification of Bite Marks in Forensic Casework · 2019-06-24 · tooth and makes one tooth different from the other [23]. The teeth of different individuals differ](https://static.cupdf.com/doc/110x72/5f76c9deb881de1edd49062d/analysis-and-identification-of-bite-marks-in-forensic-casework-2019-06-24-tooth.jpg)
![Supernumerary Teeth in all 4 Quadrants of a Non-Syndromic ... · [2]. Mesiodens, defined as a supernumerary tooth located predominately in the premaxilla area between the two upper](https://static.cupdf.com/doc/110x72/5ecb80e64dce2967c35acab5/supernumerary-teeth-in-all-4-quadrants-of-a-non-syndromic-2-mesiodens-defined.jpg)
![Supernumerary Molars and Wisdom Tooth Shape Alterations in ... · and impressive spacing of teeth [33]. At first sight, this finding would suggest that the hindered mesial movement](https://static.cupdf.com/doc/110x72/5e79a0fa1ba91c43eb1496ab/supernumerary-molars-and-wisdom-tooth-shape-alterations-in-and-impressive-spacing.jpg)
