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Case Differences

Diastema Frenectomy

Case provided courtesy of
Dr. Doug Jopling


Diagnosis

Patient's Chief Concern
The patient was conscious of the spaces between her front teeth.

Diagnostic Summary
  • Substantial maxillary anterior frenum between upper central incisors
  • Anterior deep bite
  • Mandibular crowding

Treatment

Treatment Summary
  • Retracted upper and lower anterior teeth to close the diastema and controlled torque using beveled horizontal attachments
  • Resolved the deep bite using lower anterior intrusion
Post Invisalign Treatment
  • Frenectomy was prescribed and planned prior to Invisalign treatment, but the patient waited until after Invisalign treatment to have this done.

Treatment Tip

Closing the space for a patient with a frenum problem is difficult since the frenum will typically open the space back up. Many of our doctors address this issue by performing a frenectomy at the end of the treatment followed by a bonded lingual retainer. This is the best way to avoid having the diastema open back up. Click here to learn more about how to create a bonded lingual retainer in your office.


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