4 - Severe Spacing

Photographs and X-rays

Orthodontic Summary

ClinCheck Files

Earn CE Hours

Case Differences

• Accepted ClinCheck: Doctor requested additional attachments.

• Accepted ClinCheck: Intrusions are programmed at the end of treatment vs. simultaneously with other movements per the latest protocol.

Severe Spacing

Case provided courtesy of
Dr. Robert Leach

Diagnosis

Patient's Chief Concern
Patient is a 46 year old computer analyst who was embarrassed to smile her entire life.

Diagnostic Summary

8mm diastema due to small maxillary laterals and a protrusive narrow maxilla
Deep impinging overbite due to hyper-errupted lower anterior teeth
Premature wear and CR/CO Interference
Decalcified enamel on maxillary centrals
Overall good dentition and sound periodontal health

Treatment

Treatment Summary

Performed periodontal evaluation and professional cleaning
Occlusal equilibration to eliminate centric interferences to allow proper bite relation for Invisalign records
Additional restorative performed to eliminate decay and defective fillings
Expanded and broadened the maxillary arch
Retracted the upper anterior teeth
Closed the diastema between maxillary centrals
Proclined the mandibular anterior teeth for proper anterior coupling
Left space distal to the mandibular canines

Post Invisalign Treatment

Composite bonding maxillary centrals and laterals
Bonded bridge mandibular right cuspid and first bicuspid
Whitening

Treatment Tip

An integral part of achieving ideal anterior esthetics goals is careful review of the ClinCheck setup to ensure it conveys your goals. Click here to learn more about using ClinCheck software to achieve optimal Smile Designs using Align's Protocols.