Invisalign Adult Case - Severe Crowding, Bimaxillary Dentoalveolar Protrusion treated non-extraction
What a fantastic result has been achieved here for this lovely orthodontic patient, treated by Dr Vandana Katyal, Orthodontist (Sydney, Australia). A fantastic result in about 2.5 years and just in time for her wedding!
Given she had a bimaxillary dentoalveolar protrusive profile, severe anterior crowding and ectopic upper canine, initially extractions were considered. Following discussions, we decided to use interproximal reduction and dental arch expansion instead with clear aligners (Invisalign) and virtual monitoring (DM). We also doubled the number of aligners in each set to improve predictability of complex movements and slow down tooth movement velocity for a more optimal biological soft tissue response.
This video has all the case planning tips and a Q&A at the end. To learn more about how to be a biologically-driven orthodontic practitioner, treat patients efficiently and get predictable results, join the BOSS Australian-accredited 10905NAT Graduate Diploma of Digital Orthodontic Treatments. It can be started at anytime and is 100% online!
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Пікірлер: 12
lovely result
Why doesn't anyone do ipr to premolars or molars I've never seen it done. Does it not work?
Absolutely stunning work! If you did 4 premolar extraction, would you think this case was finished before the 2 1/2 years mark? Still amazed how much retraction of incisors you were able without extraction!
@bossortho
2 ай бұрын
Thank you for your comment. Great question. Based on my experience probably same time frame as non exo. I find in people of African descent it’s better to not extract and maintain some incisor protrusion as it’s their norm.
@whatislife142
20 күн бұрын
@@bossortho hello, are all extractions and retraction for bimaxillary protrusion done the same? do they like control how much is to be retracted? or is it simply extract and retract however in order to close the gaps?
@bossortho
16 күн бұрын
@@whatislife142 great question. We can control how much we retract. Sometime we will move posterior teeth forwards as well. It depends on many factors.
@whatislife142
15 күн бұрын
@@bossortho does it also have an effect on jaw position? im a 22 yr old male. i dont want extractions to set back my mandible or jaw. i hjave bimaxillary protrusion btw, probably mild to moderate
@bossortho
15 күн бұрын
@@whatislife142 no once you are an adult, your jawbones can literally not change without surgery