Ronald: 

• Age 40

• Chief Complaint : “I Don’t like to smile...I don’t like my teeth”. “My kids ask why I look mad”

Examination: 

• Complete Clinical exam...

  • Hard tissue, Soft tissue/ Full Perio Chart, Head and Neck, Oral Cancer, Sleep OSA screen, TMJ exam

• Full Mouth Series X-rays, Dental Health Scan 3-D image with Itero

Evaluation:

• Pt has no pain, no clicking no popping of TMJ

• Slight gingivitis especially localized to the lower anterior area

• Large diastema between central incisors

• Undersized lateral incisors with Diastemas

• Deep bite

• Lower Right premolar significantly out of the arch form

• Heavy Anterior contacts and fremitus

• Class II Molar and Canine on the Right and Class III molar and canine occlusion on the left • Signs of failing restorations

Treatment:

• Gingivitis Therapy

• Comprehensive Ortho with Invisalign

  • Initial Treatment 26 total Aligners - 23 Upper active aligners, 19 lower active aligners and 4 passive aligners, 3 over correction aligners

  • 0 Refinements

  • 12 Total Months

  • Munchies Madness protocol with 14 day changes due to intrusion desired

  • Bite ramps

  • Vivera Retainers

  • Whitening and Cosmetic Bonding to improve tooth size Discrepancy

• Changed failing restorations

• Very Very Happy & Smiley Patient!