Orthodontic Summary |
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Case Differences |
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Moderate Crowding Case provided courtesy of
Dr. Shane Jensen
DiagnosisPatient's Chief ConcernPatient avoided smiling and felt he looked like "Count Dracula". He initiated treatment because he is pursuing law school and wanted to be taken seriously in the courtroom. Diagnostic Summary
- Class I skeletal relationship
- Maxillary arch has 7mm of space deficiency
- Mandibular arch has 5mm of space deficiency
- Edge to edge Overjet/Overbite
- Posterior crossbite both right and left side
- Maxillary right canine is completely out of occlusion
- Maxillary incisors are severely retroclined
TreatmentTreatment Summary
- Expansion to correct crowding
- IPR on the maxillary arch
- Corrected all crossbites
- Established Class I canine relationship
- Established ideal overjet and overbite
Treatment Tip
When reviewing your patient's ClinCheck set up, the Interproximal Reduction (IPR) instructions should be a part of your standard review process. During this review, you should evaluate the amount of removal required and the stages at which the removal is needed. Be sure to carefully observe the ClinCheck staging to ensure adequate access to interproximal contacts is available. Challenging areas should be noted and the case resubmitted to ClinCheck for restaging if necessary.
In this particular case, the initial ClinCheck set up recommended IPR between several mandibular incisors during some of the earliest stages. With much of the crowding still present at these stages and concern adequate access would be difficult, the treating doctor made a simple modification with a request to stage the IPR for later in treatment when interproximal access was less difficult. Click here to learn more on IPR tips. |