Vick, 31: 

• I have been to several orthodontists who told me that they may not be able to close my gaps. I want my gaps closed and I want to smile.

Examination: 

• Comprehensive dental exam including a full mouth series of X-rays, panoramic, and Ceph.

• Periodontal exam, routine dental cleanings

• Excellent oral hygiene, dental work completed and no decay present.

Evaluation:

• Anterior open bite and spacing (canine - canine) due to tongue thrust

• Airway was checked and patient was cleared for Ortho

• Midline off to patients R - 1-2 mm

Treatment:

• 3.5 months - Invisalign therapy

• 2 aligners - 2 week wear 11 aligners - 1 week wear

• Munchies through entire treatment - used upon every insertion, and 20 minutes throughout the day

• Upper and Lower anterior lingual bonded retainers and 4 sets of Vivera over the bonded retainers.

• Going on 3 year follow up, still perfectly aligned

Case provided by Dr. Nadia Saad