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Four bicuspid extraction space closure with good root alignment post treatment. |
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Diagnostic Summary
• Severe crowding with high max. cuspids
• Bimaxillary protrusion with lip strain
Treatment Overview
• 4 bicuspid extraction to relieve crowding and facilitate retraction
• Triangular elastics to assist with extrusion of UL3
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Class II elastics addressed molar relationships and midline discrepancy. Eruption compensation by creating M-D space in aligner fabrication with virtual pontic prescribed. |
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Diagnostic Summary
• Class II left molar
• Midline discrepancy
• Unerupted permanent dentition
Treatment Overview
• Class II elastics left
• Virtual pontic to accommodate MD width of erupting UL5
• Refinement to address erupted second molars
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ClinCheck software allowed collaboration between oral surgeon and restorative dentist to determine comprehensive treatment goals. |
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Diagnostic Summary
• Class III skeletal: max. deficiency, mand. protrusive
• Deep overbite with accentuated lower curve of spee
• Small maxillary lateral incisors
Treatment Overview
• Arch coordination & level curve of spee to facilitate proper occlusion during surgical intervention
• Create space around max. laterals to compensate for tooth size discrepancy prior to restorative plan
• 3 piece maxilla and mandibular set back surgery
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TADs used to assist in forced eruption. |
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Diagnostic Summary
• Retained URC, impacted UR3
• Severe recession with clefting
• No anterior guidance
• Class I with moderate crowding
Treatment Overview
• Extracted primary canine
• TADs utilized to assist with forced eruption of UR3
• Periodontist recommended aligner therapy as best option due to severe recession and clefting
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