Racie: 

• 29

• Chief Complaint : "I don't like the gap between my two front teeth."

Examination: 

• CBCT

• FMX

• Panoramic film

• Comprehensive clinical and perio evaluation

Evaluation:

• Upper arch spacing

• Lower arch crowding

• Localized gingivitis associated with moderate crowding of lower anterior

• 5.1mm diastema as quantified by Itero scan

Treatment:

• Comprehensive Invisalign Case

• Initial treatment of 29 aligners with 7 day change

• Just one refinement of 7 aligners with 7 day change

• Red Munchies used 15 minutes twice daily

• Take home whitening using Opalescence in aligners

• Total treatment time: 8 ½ months

• Upper arch fixed retention using Reliance Orthodontic retention wire with Invisalign retainers to fit over lingual retention

• Lower Invisalign retainer