Fixed Anterior Alignment – The Power of Digital Planning

Case Summary

The problem in this case  was that this patient already had upper premolar extractions during previous teen age orthodontics, yet he presents with retroclined upper incisors and  severe crowding of his lower labial segment –  LL2 was blocked out buccally and aligning the lower teeth within the alveolar bone on a non extraction basis would compromise periodontal health.

Therefore lower arch treatment would require extraction. If we aligned the upper teeth, the central incisors would procline and increase arch length. If we extract in the lower we could reduce arch length.

The question posed was what would the resulting overjet look like after treatment, would it be acceptable? I hope you agree that the finished result correlates closely with the Archwise predicted outcomes.

This case demonstrates the advantage of digital planning with Archwize to produce predicted outcomes.

MID-TREATMENT PHOTOGRAPHS:

Extraction of LL2 and bond up of uppera only until some proclination of the upper incisors would allow placement of the lower incisor brackets without interference.

Below

First photo ( Before Images), Second photo ( After images) Bottom image (predicted outcome Archwize). A good correlation was achieved between the predicted Archwize outcome and the final achieved outcome.

The knowledge and experience I gained from IAS Academy’s Advanced Course proved invaluable when treating this case and also gave me the confidence to treat other advanced cases that I previously would have referred.

I’d encourage anyone with a basic knowledge of orthodontics to take their skills to the next level with the academy’s advanced training. The mentoring is first-class, the is support excellent, and the course syllabus is absolutely comprehensive—plus, I met many new friends while training!