Aligner Techniques in Orthodontics. Susana Palma Moya
intraoral images with composite veneer for 13 i...Fig. 21.58 Initial (left) and final (right) occlusal (composite veneer in 13...Fig. 21.59 Initial and final smile. Correction of the open bite without crea...Fig. 21.60 Initial intraoral view.Fig. 21.61 Initial intraoral views: right, front, left, upper, lower.Fig. 21.62 Initial panoramic X‐ray.Fig. 21.63 Initial extraoral views.Fig. 21.64 Initial Clinchecks (right, front, left, upper, lower).Fig. 21.65 Refinement intraoral views (right, front, left, upper, lower).Fig. 21.66 Refinement Clinchecks: right, front, left, upper, lower.Fig. 21.67 Refinement: extraoral views.Fig. 21.68 Refinement: a third set of aligners was ordered for final settlem...Fig. 21.69 Lateral and panoramic X‐rays showing final situation, and wisdom ...Fig. 21.70 Final intraoral views (right, front, left, upper, lower).Fig. 21.71 Before and after smiles.Fig. 21.72 Initial intraoral view.Fig. 21.73 Initial intraoral views (right, front, left, upper, lower).Fig. 21.74 Initial smile: short incisor display required aesthetic improveme...Fig. 21.75 Initial panoramic and lateral X‐rays.Fig. 21.76 Initial Clinchecks (right, front, left, upper and lower).Fig. 21.77 Refinement: intraoral views (right, front, left, upper and lower)...Fig. 21.78 Refinement Clinchecks (right, front, left, upper and lower).Fig. 21.79 Final intraoral views (right, front, left, upper with tongue tame...Fig. 21.80 Smile before and after treatment.Fig. 21.81 Final lateral X‐rays.Fig. 21.82 Initial intraoral view.Fig. 21.83 TheOrthopulse device was used by the patient to accelerate treatm...Fig. 21.84 Initial set of intraoral views (right, front, left, upper and low...Fig. 21.85 Initial panoramic and lateral X‐rays and cephalometric measuremen...Fig. 21.86 Initial extraoral views.Fig. 21.87 Initial ClinChecks (right, front, left, upper and lower) with vir...Fig. 21.88 Refinement: intraoral views (right, front, left, upper and lower)...Fig. 21.89 Refinement: lateral and panoramic X‐rays.Fig. 21.90 Refinement: profile and smile.Fig. 21.91 Refinement ClinChecks (right, front, left, upper and lower).Fig. 21.92 Current intraoral views (right, front, left, upper and lower).Fig. 21.93 Current lateral and panoramic X‐rays and cephalometry.Fig. 21.94 Final smile.Fig. 21.95 Predictability of vertical movements is important in order to pla...Fig. 21.96 Optimized pressure areas help intruding anterior teeth by combini...Fig. 21.97 Optimized extrusion attachments on premolars create a counterforc...Fig. 21.98 Precision bite ramps are designed to dissoclude posterior sectors...Fig. 21.99 Optimized support attachments are designed to help intruding uppe...Fig. 21.100 Patient with a gummy smile and deep bite. Expand + procline inci...Fig. 21.101 This patient (before and after views) presented low smile with d...Fig. 21.102 When anterior torque is negative relative intrusion might be eas...Fig. 21.103 When pure intrusion is needed, interproximal reduction will help...Fig. 21.104 Incisors protocol in deep bite is: procline crown, intrude, then...Fig. 21.105 Anterior temporary anchorage devices will help with this case.Fig. 21.106 Suggested torque for upper (+17 degrees) and lower incisor (–1 d...Fig. 21.107 Hypercorrection of the curve of Spee usually creates an open bit...Fig. 21.108 A single buccal or palatal power ridge (left and middle) creates...Fig. 21.109 Posterior extrusion might be achieved with optimized extrusion a...Fig. 21.110 Initial intraoral view.Fig. 21.111 Initial extraoral and intraoral views.Fig. 21.112 Initial panoramic and lateral X‐rays and cephalometry.Fig. 21.113 Initial occlusal upper and lower superimposition ClinCheck views...Fig. 21.114 Initial right and left ClinCheck views.Fig. 21.115 Interproximal reduction.Fig. 21.116 Initial (upper) and final intraoral views (lower).Fig. 21.117 Initial (left) and final occlusal (right).Fig. 21.118 Final panoramic and lateral X‐rays.Fig. 21.119 Initial intraoral view.Fig. 21.120 Initial extraoral and intraoral views.Fig. 21.121 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 21.122 Initial upper and lower ClinCheck views.Fig. 21.123 Initial right and left ClinCheck views.Fig. 21.124 On the additional aligners set, distal tipping of the crown in 3...Fig. 21.125 Evolution in last aligner before refinement.Fig. 21.126 Initial (upper) and final (lower) intraoral views.Fig. 21.127 Initial (left) and final (right) occlusals.Fig. 21.128 Before and after smile.Fig. 21.129 Final panoramic and lateral X‐rays.Fig. 21.130 Initial intraoral view.Fig. 21.131 Initial extraoral and intraoral views.Fig. 21.132 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 21.133 Initial upper occlusal superimposition ClinCheck view.Fig. 21.134 Initial lower occlusal superimposition ClinCheck view.Fig. 21.135 Initial right and left ClinCheck view.Fig. 21.136 Initial front ClinCheck view with interproximal reduction.Fig. 21.137 Initial views (upper) and evolution after 12 months (lower).Fig. 21.138 Final intraoral views.Fig. 21.139 Initial (left) and final occlusal (right).Fig. 21.140 Occlusal contact point at the end of the treatment.Fig. 21.141 Initial and final smile.Fig. 21.142 Final panoramic and lateral X‐rays.Fig. 21.143 Initial intraoral view.Fig. 21.144 Initial extraoral and intraoral views.Fig. 21.145 Initial occlusal contact.Fig. 21.146 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 21.147 Initial upper occlusal superimposition ClinCheck view.Fig. 21.148 Initial lower occlusal superimposition ClinCheck view.Fig. 21.149 Interproximal reduction is only needed mesial and distal to 22 t...Fig. 21.150 Initial right and left ClinCheck view.Fig. 21.151 Temporary anchorage devices to provide enough posterior anchorag...Fig. 21.152 Evolution at the end of additional aligners. Intermaxillary elas...Fig. 21.153 Initial (upper) and final (lower) intraoral views.Fig. 21.154 Initial left) and final (right) occlusal.Fig. 21.155 Initial and final overjet and final correction of the deep bite....Fig. 21.156 Initial and final smile.Fig. 21.157 Final panoramic and lateral X‐rays with an appropriate inclinati...Fig. 21.158 Initial intraoral view.Fig. 21.159 Initial intraoral pictures (right, front, left, upper and lower)...Fig. 21.160 Initial panoramic and lateral X‐rays.Fig. 21.161 Initial smile.Fig. 21.162 Initial Clinchecks (right, front, left, upper and lower).Fig. 21.163 Refinement 1: intraoral views (right, front, left, upper and low...Fig. 21.164 Refinement 1 Clinchecks (right, front, left, upper and lower). A...Fig. 21.165 Refinement 2 (aligner): st the end of first refinement, the alig...Fig. 21.166 Refinement 2 (aligner: right, front, left, upper and lower). Ali...Fig. 21.167 Refinement 2 ClinChecks (right, front, left, upper and lower). A...Fig. 21.168 Final intraoral pictures: right, front, left, upper and lower. D...Fig. 21.169 The smile has widened but still gummy, as initially predicted.
19 Chapter 22Fig. 22.1 Asymmetries can be managed with specific aligner biomechanics.Fig. 22.2 Initial view.Fig. 22.3 Class II subdivision right, deviation of both midlines equal to th...Fig. 22.4 Pretreatment intraoral views.Fig. 22.5 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 22.6 Initial frontal Clincheck view.Fig. 22.7 Upper and lower ClinCheck archshape changes and instructions to CA...Fig. 22.8 Upper and lower CC superimposition and instructions to CAD designe...Fig. 22.9 Lateral ClinCheck views.Fig. 22.10 Final intraoral views.Fig. 22.11 Initial and final smile and overjet.Fig. 22.12 Final panoramic and lateral X‐rays.Fig. 22.13 Initial intraoral view.Fig. 22.14 Pretreatment extraoral and intraoral views.Fig. 22.15 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 22.16 Upper and lower CC superimposition and instructions to CAD design...Fig. 22.17 Lateral ClinCheck views.Fig. 22.18 Initial frontal Clincheck view.Fig. 22.19 Intermaxillary elastics to correct asymmetric mandibular growth. ...Fig. 22.20 Final occlusion.Fig. 22.21 Initial and final smile.Fig. 22.22 Final panoramic and lateral X‐ray.Fig. 22.23 Patient with maxillomandibular asymmetry.Fig. 22.24 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 22.25 Pretreatment extraoral views.Fig. 22.26 Occlusion in centric occlusion (CO).Fig. 22.27 Occlusion in centric relation (CR). In this situation, photograph...Fig. 22.28 iTero occlusion analysis.Fig. 22.29 The goal of treatment is asymmetric expansion of the maxilla to c...Fig. 22.30 A temporary anchorage device on the tuberosity will assist the mo...Fig. 22.31 Lower arch molar straightening will be assisted with a Lower arch...Fig. 22.32 Occlusal