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ePaper created 2016-03-29, 15:23:51 | version 1.38.0
| case report Inman Aligner appliance 20 cosmetic dentistry 1 2016 Conservative smile design for the general dentist Author: Dr Rami Chayah, Lebanon Abstract This article discusses the advantages of short-term anterior tooth alignment using the Inman Aligner sys- tem,particularlyforgeneraldentists.Thearticlewillgive abriefdescriptionoftheInmanAlignerapplianceandits use in short-term orthodontics, and it will answer three major questions the general dentist should ask himself orherselfduringthetreatmentplanningprocess.Insup- port of this treatment modality, three case scenarios general dentists see daily will be given as examples. Introduction General dentists face the daily challenge of perform- inginstantveneersforpatientswithmisalignedanterior teethwhorefuseorthodontictreatment,manyofwhom regard fixed orthodontic treatment as too long a com- mitment for achieving their desired aesthetic results. In today’s fast-paced life, some patients are not prepared to wait or to go through long treatments.1, 2 One of the greatest benefits of short-term anterior alignment is that many people who would refuse comprehensive or- thodontic treatment may accept short-term removable alignmenttechniquessuchastheInmanAlignersystem. The Inman Aligner is a simple removable appliance, amodificationoftheremovablespringretainer.Ituses super-elasticcoilspringstoapplyhighlyefficientlight and consistent forces on both the labial and lingual surfaces of the anterior teeth (Figs. 1 & 2). The appli- ance is fabricated on a cast on which, based on a surgical model, the anterior teeth needing correction have been removed and reset in the ideal position in waxontheworkingcast.3 Whenthepatientwearsthe appliance, the built-in forces generated by the spring coils will correct the misaligned anterior teeth (Fig. 3). What distinguishes the Inman Aligner appliance from other short-term orthodontic systems such as Invisalign (Align Technology) and Six Month Smiles is its low cost, low risk and short learning curve for gen- eralpractitioners.Onlyoneapplianceisusedfromthe start to the end of the treatment. Sometimes, several clear aligners may be used to de-rotate resistant ca- nines. The system is well received by patients because Fig. 1: Inman Aligner appliance. Fig. 2: Illustration of the Inman Aligner showing the appliance components. Fig. 3: Inman Aligner appliance in the mouth. Case 1 Fig. 4: Frontal view with the teeth in occlusion before treatment. Fig. 5: Frontal view with slightly open bite showing the status of the teeth before treatment. Fig. 6: Frontal view with the teeth in occlusion after alignment and bleaching. Fig. 7: Close up frontal view of the maxillary teeth after ABB. Fig. 8: Right side view of the maxillary teeth before ABB. Fig. 9: Right side view of the maxillary teeth after ABB. Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 dentistry 12016