March 2021

Tania: 

  • Age 26

  • Chief Complaint : “I’m embarrassed to smile and take any pictures. Whenever I do, I cover my mouth.”

 

Examination: 

  • CBCT

  • iTero digital scan

  • Full mouth series

  • Comprehensive clinical exam

  • Perio exam

 

Evaluation:

  • Noted that the patient is very timid and does not engage actively during the initial visit & examination. Her eyes looked sad.

  • Bilateral cross bite with severe crowding.

  • Due to crowding, gingival health is compromised.

Treatment:

  • Comprehensive Invisalign Case

  • Clincheck was approved in March 2020, but due to Covid shutdown, patient did not start until May 2020.

  • Acceleration: MOPs and red Munchie 15 mins per day x 4 (Munchie Madness)

  • Phase 1: 17 trays @ 14 day change

  • Refinement in January 2021 to align #23 @ 7 day change

  • Patient completed treatment in Feb 2021.

  • Total treatment: 9 months

  • Finishing touches: E-plasty, Gingivectomy #6-11 using the Fotona Lightwalker and chairside bleaching.

Shon Dempsey