December 2022

Josh, 40: 

  • Relapse post braces as a teenager with flaky enamel that is hard to keep clean

Examination: 

  • Comprehensive oral eval with BW, PA, pano and dental health scan

Evaluation:

  • BIlateral class III

  • Severe mandibular crowding with retroclined incisors

  • Moderate maxillary crowding with retroclined incisors

  • History of abfraction lesions with class V restorations

  • Trapezoid arch forms

Treatment:

  • Prophy

  • Comprehensive Invisalign case

  • 24 aligners with extraction of #25

  • 4 additional aligners to complete rotation and tighten interproximal contacts

Case provided by Dr. Nick Cobb

Shon Dempsey