January 2021

Michael: 

  • Age 40

  • Chief Complaint: Crowding and Smile

 

Examination: 

  • Complete clinical exam, Pano and Xrays, Perio, 

  • Sleep screening, Photos and Dental Health Scan

  • Perio Specialist consult for post alignment grafting

 

Evaluation:

  • Cl 1 malocclusion

  • Advanced crowding

  • Lingually inclined

  • Narrow vaulted palate

  • Active Perio disease and

  • Recession

  • Compromised hygiene

  • Mouth breathing and compromised oral volume

  • Screened negative for sleep apnea although high risk factors

Treatment:

  • Invisalign comprehensive

  • Periodontal consult and therapy

  • Ramp up technique:  2 weeks first month 1 week there after

  • Progressive IPR and equilibration

  • Munchie Madness protocol (Dr Bunkers) 15 min 4 times a day and upon seating

  • Phase 1 health- 35 aligners 10 months 

  • Phase 2   Esthetic - patient was pleased but we did two esthetic refinements 10 and 8 aligners

  • Total tx time 20 months (Covid)

  • Final equilibration and whitening

  • Vivera retention and Happy Healthy patient 😀

Shon Dempsey