This is a case which shows what can be achieved using the Clear Smile Brace system.
One of the dental nurses at our practice had not liked the appearance of her teeth for some time. She felt the upper right lateral was ‘sticking out’ and getting worse and she didn’t like the way she closed her teeth together and was very self-conscious whenever she was eating.
She presented with a Class I skeletal relationship but Class III incisors with an edge to edge incisal relationship in retruded contact position but she postured forward on closure to ICP to produce a reversed overjet on the upper central incisor teeth. The aim of treatment was to correct the overjet to a Class I relationship by proclining and aligning the upper incisors and retraction of the lower teeth combined with interproximal reduction. I did not intend to correct the lower centre line deviation or the Class III molar and canine relationship on the left but we planned to remove the displacement on closure.
A full orthodontic Assessment was carried out to include extra and intra oral photographs, periapical radiographs, wax bite and upper and lower silicone impressions.
We were able to digitally plan this case using the IAS academy ‘Spacewize’ tool to assess the degree of space available. The Digital ‘Archwize’ results showed us what could be achieved and what compromises we were going to accept. It also gave us an accurate guide as to the amount of interproximal reduction necessary and where this was to be carried out. The Digital results allowed us to see the occlusal views, arch form and shape and the teeth in occlusion in a ‘before’ and ‘after’ scenario.