August 2021

Shilda: 

  • Chief Complaint : Spacing getting larger, feels like she will lose her teeth

Examination: 

  • Periodontal exam slight mobility lower anterior related to tongue thrust,

  • Full Clinical exam missing teeth implants planned.

  • Panoramic xray

Evaluation:

  • Class I molar

  • Anterior crossbite and end to end on some teeth

  • tongue thrust

  • spacing excessive mandibular arch

Treatment:

  • Invisalign Comprehensive case with implant planning

  • acceledent used during treatment

  • Munchie for seating aligner

  • 1 refinement

  • 11 months of treatment

  • vivieras to be completed after prothetics

  • temporary essex.

Shon Dempsey