Aligner Techniques in Orthodontics. Susana Palma Moya

ClinCheck views.Fig. 22.34 Frontal ClinCheck view.Fig. 22.35 Interproximal reduction.Fig. 22.36 Evolution in the occlusal contact.Fig. 22.37 Arch development.Fig. 22.38 Initial (upper) views and evolution at month 18 of treatment (low...Fig. 22.39 Initial (upper), after Invisalign and before prothesis (middle) a...Fig. 22.40 Final occlusal.Fig. 22.41 Comparison of initial and final smile and overjet.Fig. 22.42 Final panoramic and lateral X‐rays.Fig. 22.43 Initial intraoral view.Fig. 22.44 Pre‐treatment extraoral and intraoral views.Fig. 22.45 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 22.46 Lateral sectional wire applied based on a temporary achorage devi...Fig. 22.47 Lateral ClinCheck views showing forces applied.Fig. 22.48 Lateral ClinCheck view showing forces applied with the temporary ...Fig. 22.49 Upper ClinCheck view superimposition.Fig. 22.50 Lower ClinCheck view superimposition.Fig. 22.51 Second set of aligners. Frontal ClinCheck view.Fig. 22.52 Second set of aligners. Lateral ClinCheck views.Fig. 22.53 Second set of aligners. Frontal ClinCheck view.Fig. 22.54 Initial occlusion.Fig. 22.55 Evolution at 3 months with sectional wire to anchor 36 and 46 to ...Fig. 22.56 When the lower incisors are in their final position, mesialize pr...Fig. 22.57 Completing mesialization of second lower molar.Fig. 22.58 Settle the occlusion with elastics.Fig. 22.59 Initial (upper) and final occlusion (lower) views. The full class...Fig. 22.60 Initial (left) and final (right) occlusal.Fig. 22.61 Initial, smile in 22 months and final smile.Fig. 22.62 Initial and final overjet (right and left side).Fig. 22.63 Initial intraoral view.Fig. 22.64 Initial intraoral views.Fig. 22.65 Initial extraoral views.Fig. 22.66 Initial lateral and panoramic X‐ray and cephalometric analysis.Fig. 22.67 Initial Clinchecks: the left side should be in a Class II relatio...Fig. 22.68 After 10 months of treatment, the intraoral situation was good, b...Fig. 22.69 Extraoral view after 10 months.Fig. 22.70 After 10 months, the ClinCheck had vertical overcorrection and vi...Fig. 22.71 Current views after 20 months of treatment, but expected at 24 mo...Fig. 22.72 Pretreatment and current X‐rays.Fig. 22.73 Extraoral pictures after treatment.

      20 Chapter 23Fig. 23.1 First premolar extraction, G6 protocol.Fig. 23.2 Lower incisor extraction, with vertical attachments on the remaini...Fig. 23.3 Powerchain helps close final spacing.Fig. 23.4 Perfect root parallelism after tooth extraction commonly needs the...Fig. 23.5 Initial intraoral view.Fig. 23.6 Pretreatment extraoral and intraoral views.Fig. 23.7 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 23.8 Upper and lower CC superimposition and instructions to CAD designe...Fig. 23.9 Attachments can be seen in several areas of the ClinCheck software...Fig. 23.10 Lateral ClinCheck views.Fig. 23.11 Intraoral view.Fig. 23.12 Initial (upper)and final (lower) views.Fig. 23.13 Initial and final occlusal.Fig. 23.14 Initial and final smile.Fig. 23.15 Final panoramic and lateral X‐rays: good final parallelism betwee...Fig. 23.16 Initial intraoral view.Fig. 23.17 Initial extraoral and intraoral views.Fig. 23.18 Occlusal contact at the beginning of the treatment.Fig. 23.19 Periodontal bone loss in upper incisors.Fig. 23.20 Initial teleradiograph and cephalometry.Fig. 23.21 Upper occlusal interproximal reduction to avoid excessive proclin...Fig. 23.22 Pontic for extracted 42. Bevelled attachment on lateral incisors ...Fig. 23.23 Interproximal reduction of upper arch and lower incisor extractio...Fig. 23.24 Lateral ClinCheck views.Fig. 23.25 Initial (upper) and evolution 11 months of treatment (lower).Fig. 23.26 Finishing refinement. Posterior elastic is used to settle the occ...Fig. 23.27 Initial (upper) and final occlusion (lower). Adequate parallelism...Fig. 23.28 Occlusal contact point at the end of the treatment.Fig. 23.29 Initial and final occlusal.Fig. 23.30 Initial and final smile and overjet.Fig. 23.31 Final panoramic and lateral X‐rays.Fig. 23.32 The canine and second premolar in this picture would be ideal for...Fig. 23.33 Extraction of first premolars, absolute anchorage: 0 mm posterior...Fig. 23.34 Extraction of first premolars, maximum anchorage: 0–2 mm posterio...Fig. 23.35 G6 protocol is considered a full system for space closure, theref...Fig. 23.36 Moderate anchorage protocol will start with canine and posterior ...Fig. 23.37 Moderate anchorage protocol will start with canine and second pre...Fig. 23.38 A popular pattern in Asia for extraction space closure.Fig. 23.39 The selection of bonding hooks or buttons has to be carefully pla...Fig. 23.40 Extraction of 5s with minimum anchorage.Fig. 23.41 With the double vertical attachment in molars the intrusion of th...Fig. 23.42 With the Powerarm attachment in molars at the final aligners we c...Fig. 23.43 Staggered technique for second premolar extraction.Fig. 23.44 Staggered technique for first molars extraction.Fig. 23.45 Retroclined incisors might mean increased overbite and need root ...Fig. 23.46 Powerarms are great auxiliaries in achieving root parallelism.Fig. 23.47 Undesired effects of brackets and wires are quite similar to the ...Fig. 23.48 Absolute anchorage with temporary anchorage devices.Fig. 23.49 Pretreatment extraoral and intraoral views.Fig. 23.50 Initial panoramic and lateral X‐rays, and cephalometry.Fig. 23.51 Upper CC superimposition and instructions to CAD designer.Fig. 23.52 Lower CC superimposition and instructions to CAD designer.Fig. 23.53 Lateral Clinchecks.Fig. 23.54 Front ClinCheck view in which we can check deep bite and midline ...Fig. 23.55 Asymmetry is clear from both a vertical and saggital perspective....Fig. 23.56 Pure intrusion of lower incisors from TADs (right, front and left...Fig. 23.57 Treatment evolution.Fig. 23.58 Evolution with aligners. Initial (left) and evolution at 3 months...Fig. 23.59 Posterior teeth have distal root tipping movement planned.Fig. 23.60 TADs are included in the doctor’s treatment plan with these diagr...Fig. 23.61 Initial frontal view.Fig. 23.62 Initial intraoral views.Fig. 23.63 Initial extraoral views.Fig. 23.64 Initial Clinchecks.Fig. 23.65 Refinement: intraoral views after first set of aligners.Fig. 23.66 Refinement: extraoral views after first set of aligners.Fig. 23.67 Refinement Clinchecks.Fig. 23.68 Intraoral views of smile at the end of treatment.Fig. 23.69 Final panoramic X‐ray to check final root paralellism between 13 ...Fig. 23.70 initial frontal view.Fig. 23.71 Initial intraoral views.Fig. 23.72 Initial extraoral views.Fig. 23.73 Initial teleradiograph, and lateral and panoramic X‐rays.Fig. 23.74 Initial Clinchecks.Fig. 23.75 Refinement: intraoral views showing exact position predicted on C...Fig. 23.76 Refinement: Clinchecks showing space mesial to 18.Fig. 23.77 Second refinement: intraoral pictures after two sets of aligners....Fig. 23.78 Second refinement: smile after two sets of aligners.Fig. 23.79 Second refinement: extraoral views after two sets of aligners.Fig. 23.80 Refinement: Clinchecks showing final vertical engagement.Fig. 23.81 Intraoral views after treatment.Fig. 23.82 Final teleradiograph and panoramic X‐ray showing improvement in p...Fig. 23.83 Current extraoral pictures.Fig. 23.84 Initial frontal view.Fig. 23.85 Initial Intraoral views.Fig. 23.86 Initial panoramic X‐ray and teleradiograph.Fig. 23.87 Initial smile.Fig. 23.88 Initial Clincheck with posterior spacing.Fig. 23.89 Refinement: Clincheck with posterior residual spacing, it can be ...Fig. 23.90 Refinement: the midline has been centred and exposure increased; ...Fig. 23.91 Refinement Clinchecks.Fig. 23.92 Second refinement: intraoral views.Fig. 23.93 Second refinement: space distal to 17 can be observed on the pano...Fig. 23.94 Second refinement: space distal to 17 can be observed, as well as...Fig. 23.95 Second refinement Clinchecks.Fig. 23.96 Intraoral views with Powerarms to straighten roots for 13 and 15 ...Fig. 23.97 Current intraoral views pending 5 aligners to the end of treatmen...Fig. 23.98 Initial and final lateral and panoramic X‐ray showing profile cha...Fig. 23.99 Comparison of pretreatment and final smiles.Fig. 23.100 Initial frontal view.Fig. 23.101 Initial intraoral situation.Fig. 23.102 Initial extraoral views.Fig. 23.103 Initial lateral and panoramic X‐rays and cephalometric analysis....Fig. 23.104 Initial Clinchecks.Fig. 23.105 Intraoral views when anterior misfitting was detected.Fig. 23.106 Refinement: intraoral views.Fig. 23.107 Refinement Clincheck.Fig. 23.108 Refinement: extraoral views.Fig. 23.109 A Powerchain was used to reduce rotations resulting from a lack ...Fig. 23.110 Space distribution equal to final ClinCheck position, and patien...Fig. 23.111 Lateral and panoramic X‐rays taken before aesthetic restoration....Fig. 23.112 Current extraoral views.Fig. 23.113 Smile before and after treatment.Fig. 23.114 Initial frontal view.Fig. 23.115 Initial intraoral views.Fig. 23.116 Initial extraoral views.Fig. 23.117