Abbe

• Age:  65yrs

Examination:

• Complete Clinical,  Xray, Perio Exam, Photos, Study Models.

• Ortho Consult: Recommended long term traditional ortho and implant for #10 space.

• AACA Colleague Consult: Refer to ortho and follow recommended plan OR do Invisalign camouflaging #11 as #10 and #12 as #11 with lower incisor EXT to address crowding.

• Wax up case on models, direct composite mock up on patient’s dentition.

• Pt Consult: Risks, Benefits, Alternatives discussed. Patient not interested in traditional ortho or implant. Patient elected Invisalign option extracting #23 and using enameloplasty and bonding to camouflage missing #10.

Evaluation:

• Upper arch missing lateral #10.
• Lower arch advanced lower anterior crowding with rotated canines.

Treatment:

• Invisalign Comprehensive Care

• EXT #24

• 39 aligners / 7 day rotations

• 2 Refinements / 7 day rotations 

• Anterior Zirconia Crown #7, Enameloplasty and composite bonding #11, #12.

• Minimal Gingivoplasty, tooth whitening, and occlusal equilibration. 

• Vivera Retainers

• 12 mo. treatment  time

Acceleration:

• EOCA Munchies: 10 mins/ 2x day 

• Use Munchies when reseating Aligners