February 2023
Christina 28
“I hate how crowded my teeth are and it’s so hard to clean them!”
Examination:
Clinical comprehensive exam completed-patient had generalized periodontal disease with severe bleeding gums Recommended SRP, Invisalign, future 3rd molar extraction
Evaluation:
Severe upper and lower crowding
Excessive overbite of the maxillary incisors
Premolars lingual my inclined
Treatment:
Initial case: 24 aligners, 7 days wear
Munchies 10-15 minutes per day
Munchie vibe 2x/day
Refinement 1: 9 active aligners, 7 days wear
Refinement 2: 11 active aligners, 5 days wear, upper teeth only
Refinement 3: 9 active aligners, 5 days wear, upper teeth only (just to get the laterals perfect)
Patient total treatment time 12 months
Virtual care with weekly checkins through treatment
Case provided by Dr. Chelsea Mortell Petisme