The plan was to align the upper anterior teeth using the Inman Aligner with a midline expansion screw, performing IPR (Interproximal Reduction) and PPR (Progressive Proximal Reduction) as required. Following the ABB (Align, Bleach and Bond) concept, tooth whitening and composite edge bonding on the UR1 were offered to complete treatment. The patient agreed to edge bonding but was unsure about whitening at this stage. The importance of life retention was emphasised to the patient and we intended to use both a bonded and Essix retainer.
The Archwize™ digital crowding calculator was used to determine that 1.7mm of crowding was present in the upper arch. This was well within the Inman Aligner’s 3mm limit, confirming case suitability. The digital predictions for final outcome were emailed to the patient and upon her consent, impressions were used by the Inman Aligner laboratory to fabricate the appliance.
The Inman Aligner with expander screw was fitted and IPR and PPR were performed progressively as planned. Composite anchors were placed at relevant times during treatment to help guide correct movement of the teeth. When the desired alignment had been achieved, composite edge bonding was performed with Venus Pearl (Kulzer) to even out the aesthetics of the anterior teeth. Impressions were taken for the bonded retainer and this was fitted. Impressions were then taken for the Essix retainer, at which point the patient changed her mind decided to proceed with whitening. Following night bleaching using Boutique Whitening 10% carbamide peroxide, impressions were taken for the final Essix retainers.
The patient was delighted with the outcome of treatment, which was completed in time for her wedding and in a relatively stress-free way.
This case very much went according to plan. The patient’s compliance was excellent, and it proved effective to perform good IPR and PPR early on. The Inman Aligner enables simple but very effective treatment.