Moderate Crowding

Photographs and X-rays

Orthodontic Summary

ClinCheck Files

Case Differences

• Accepted ClinCheck: Doctor requested additional attchments with less prominence.

Case provided courtesy of
Dr. Shane Jensen

Diagnosis

Patient's Chief Concern
Patient 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

Treatment

Treatment 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.