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ePaper created 2016-03-29, 15:23:51 | version 1.38.0
Inman Aligner appliance case report | 21 cosmetic dentistry 1 2016 Fig. 10: Left side view of the maxillary teeth before ABB. Fig. 11: Left side view of the maxillary teeth after alignment and bleaching. Fig. 12: Full face before treatment. Fig. 13: Full face after treatment. Fig. 14: Frontal view showing the patient’s natural smile before treatment. Fig. 15: Frontal view showing the patient’s natural smile after treatment. Fig. 16: Full face showing the patient’s natural smile before treatment. Fig. 17: Full face showing the patient’s natural smile after treatment. Fig. 18: Occlusal view showing the maxillary arch before treatment. Fig. 19: Occlusal view showing the maxillary arch after treatment. it is fast and relatively cheap. It also accommodates today’s active lifestyle. Usually, most cases take from six to 16 weeks. Patients can take the appliance out during meals or work meetings. Aswithanyothertreatmenttechniques,theInman Aligner has its limitations. Hence, case selection is imperative, as the Inman Aligner is not suitable for posteriororthodontictreatmentorClassIIorIIItreat- ment. Only certain types of movements are possible and some patients will still need conventional or- thodontic treatment or indirect restorations. Certain criteria should be met before treatment proceeds. Atconsultation,otherorthodonticalternativesshould be offered. The dentist must quote for the long-term retentionmaintenanceandshouldlookforanyskele- tal discrepancies. Compromises must be signed off. Treatment concept and case presentation Dentists need to consider three questions about treatment during the treatment planning process. The first question: can the patient’s teeth be fixed withoutorthodontictreatmentinaveryshortperiod? In order for the general dentist to answer this ques- tion, he or she should first establish whether the patient does not wish to pursue orthodontic treat- ment because of the time commitment and cost. Wouldheorshealsorefuseshort-termanteriortooth alignment? Would the occlusion be improved even though a Class I molar or Class I canine relationship may not be achieved? Patients may prefer short- term alignment techniques because of the shorter treatment time and the lower cost. Case 1 The first case presented is a good example of a scenario relevant to the question above. The patient was a young woman at college who presented at my officerequestingafullsmilemakeoverof20veneers; she desired a “Hollywood smile” as expressed in her own words. Her complaint was the retracted maxil- lary right and left central incisors, the incisal edge wearonthemaxillarycentralincisorsandmandibular anterior teeth, the pointy shape of the maxillary and Fig. 7 Fig. 8 Fig. 9 Fig. 13 Fig. 14 Fig. 15 Fig. 10 Fig. 11 Fig. 12 dentistry 12016