case study...case study clinical notes • skeletal open bite • 8mm open bite • posterior...
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/1.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/2.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/3.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/4.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/5.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/6.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/7.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/8.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/9.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/10.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/11.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/12.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/13.jpg)
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](https://reader030.vdocuments.site/reader030/viewer/2022040203/5e97b67c7152c35fd602aa60/html5/thumbnails/14.jpg)
CASESTUDY
CourtesyofDr.BellaShenGarnett
DEMOGRAPHICSMALE24YEARSOLD
DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT
MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE
TREATMENTTIME17MONTHS