CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior...

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DEMOGRAPHICS DIAGNOSIS TREATMENT TIME MECHANICS CASE STUDY MALE 24 YEARS OLD CLASS III MILD SPACING OPEN BITE EXCESSIVE OVEJET CONVEX PROFILE OCCLUSAL CANT MIDLINE DISCREPANCY 18 MONTHS ACCELEDENT USE STARTING AT STAGE 17 Courtesy of Dr. Bella Shen Garnett INVISALGN® 49 TOTAL ALIGNERS U: 30+12+11+14 L: 30+12+11+14 7 DAY ALIGNER CHANGE ELASTICS 2016 INVISALIGN CASE SHOOTOUT WINNER

Transcript of CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior...

Page 1: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

DEMOGRAPHICS DIAGNOSIS TREATMENTTIMEMECHANICS

CASESTUDY

MALE24YEARSOLD

CLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

18MONTHSACCELEDENTUSESTARTINGATSTAGE17

CourtesyofDr.BellaShenGarnett

INVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

2016INVISALIGN

CASESHOOTOUTWINNER

Page 2: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

BASELINEPatientChiefConcern:

“IwanttoclosemyopenbiteandIhaveamissingtoothandIamalsomissingalowerincisor”

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 3: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 4: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CLINICALNOTES• Skeletalopenbite• 8mmopenbite• Posteriorcrossbiteright&left• ClassIIImolars• Supernumerarytooth

SupernumeraryTooth

MissingaLowerIncisor

CourtesyofDr.BellaShenGarnett

• Missingalowerincisor• Mandibularasymmetrytotheright• Mandibularocclusalcantdowntotheright• Upperincisorshigherontheright• Tonguethrustpresent

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 5: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

TreatmentObjectivesInclude:• Levelandalignteeth• Eliminatetonguethrust• Intrudeposteriorteethtoclose

downthebite• Extrudetheupperrightanterior

teeth• Extractsupernumerarytooth• Openspacetobondpeglateral• IPRtohelpdecreaseoverjet• Closespacetodecreaseprotrusion• Achievesomerelativeextrusiontoclosedownbite• Improvefunctiontoeat

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 6: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

Progressataligner21/30

StartedClassIIIelasticswithaligner#10

StartedusingAcceleDentwithaligner#17

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 7: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

PRE-REFINEMENTPROGRESS30/30ALIGNERS

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 8: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

FINISH

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 9: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett FINISH

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSIIIMILDSPACINGOPENBITEEXCESSIVEOVEJETCONVEXPROFILEOCCLUSALCANTMIDLINEDISCREPANCY

MECHANICSINVISALGN®49TOTALALIGNERSU:30+12+11+14L:30+12+11+147DAYALIGNERCHANGEELASTICS

TREATMENTTIME18MONTHSACCELEDENTUSESTARTINGATSTAGE17

Page 10: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

And…there’smoretothisstory.Hehasatwinbrother!

“Mybrotherlooksamazing.Iwantthesamesmile!”

Page 11: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

BASELINE

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT

MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE

TREATMENTTIME17MONTHS

Page 12: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT

MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE

TREATMENTTIME17MONTHS

Page 13: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT

MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE

TREATMENTTIME17MONTHS

FINISH

Page 14: CASE STUDY...CASE STUDY CLINICAL NOTES • Skeletal open bite • 8mm open bite • Posterior crossbite right & left • Class III molars • Supernumerary tooth Supernumerary Tooth

CASESTUDY

CourtesyofDr.BellaShenGarnett

DEMOGRAPHICSMALE24YEARSOLD

DIAGNOSISCLASSICROWDING4MMOPENBITE5MMOVERJETPOSTERIORCROSSBITEMIDLINEDISCREPANCYTONGUETHRUSTHABBIT

MECHANICSINVISALGN®60TOTALALIGNERSU:22+25+13L:22+25+137DAYALIGNERCHANGE

TREATMENTTIME17MONTHS


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Non-syndromic Supplemental Permanent Maxillary Lateral … · 2017-10-27 · supernumerary tooth in the maxillary arch on the left side that was palatally placed. It resembled the

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Management of Supernumerary Teeth: Clinicians Enigma · Maxillary Tooth with Mesiodens in a Non-Syndromic Patient: A Case Report. J Dent Health Oral Disord Ther. 2017; 6: 1-4. 10.

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Eruption of teeth - University of Baghdad...2) Supernumerary tooth: may be of importance in late the eruption. 3) Trauma: any trauma may cause early shedding of primary teeth, which

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A supernumerary tooth and an odontoma attributable to ...1-2)/07.pdf · less (ab-)normal supernumerary teeth all belong to this heterogeneous group. (For explanations of these concepts,

A supernumerary tooth and an odontoma attributable to ...1-2)/07.pdf · less (ab-)normal supernumerary teeth all belong to this heterogeneous group. (For explanations of these concepts,

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Supernumerary B Chromosome

Analysis and Identification of Bite Marks in Forensic Casework · 2019-06-24 · tooth and makes one tooth different from the other [23]. The teeth of different individuals differ

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Supernumerary lacrimal puncta: A case report