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ePaper created 2018-02-22, 10:39:24 | version 1.38.0
16 ◊Page 14 Fit appointment Ten days of treatment First IPR Fit appointment Ten days of treatment Problem list: Protruding UL1 Mild crowding in the arch with slightly malpositioned lowered incisors Treatment aims – ideal: Correct position and inclination of the UL1 Correct alignment of the lower incisors Treatment aims – compromised: Correct position of the UL1 Accept mild lower crowding Treatment plan: Use an upper IAS Inman Aligner Progressive 2.2mm of IPR to create suffi cient space for tooth movement Lifelong retention with a bonded retainer Date 10/2/16 21/4/16 2/5/16 10/5/16 26/5/16 20/6/16 21/7/16 Treatment Initial assessment, Spacewize+™ evaluation and photographs 0.88mm of IPR performed, composite anchors placed palatally on laterals and patient instructed to wear IAS Inman Aligner for 20 hours per day. Review of movements after 11 days. Composite anchors adjusted for comfort. Some spaces still to close before next IPR phase. 0.88mm of IPR performed, composite anchor placed labially on UL1 and more photographs taken. 0.39mm of IPR performed and more photographs taken. Final tooth positions reached after 60 days of treatment. Patient happy to proceed with impressions for fi xed retainer. Bonded fi xed retainer wire from canine to canine and fi nal photographs. Celtra® Duo Zirconia-Reinforced Lithium Silicate (ZLS) Block Developed to make a difference Celtra Duo (ZLS) is the one and only material block that provides you with an unsurpassed level of freedom, control, and workflow flexibility, resulting in a final restoration in which to have complete confidence with respect to the clinical, functional, and esthetic outcomes. Restorations made with Celtra Duo (ZLS) possess a chameleon effect, enabling them to blend in with surrounding teeth for a natural vitality and lifelike appearance. For more information, visit celtra-dentsplysirona.com GENERAL DENTISTRY Dental Tribune Middle East & Africa Edition | 2/2017 First IPR Fit appointment Ten days of treatment complete. Importantly, performing IPR incrementally at each review ap- pointment ensured that no unnec- essary tooth preparation occurred. In total, the patient wore the aligner for 13 weeks before a fi xed retention wire was placed and she was delight- ed with her results! In reality, had she been able to attend every two weeks, the case would have been completed even quicker. Case summary and self-appraisal Looking back at the case, I realise the importance of consistent position- ing for clinical photographs, particu- larly the occlusal mirror shots. I could have displayed the fi nal results more effectively and achieved a more ac- curate Spacewize+™ estimate with a little more care when position- ing the mirror. In an ideal world we would have also aligned the patient’s very slightly crowded lower incisors before they move any further and require more extensive IPR, but this was not her primary concern and can be addressed at another time. In this fi rst case and ever since, my experiences with the IAS Academy and the IAS Inman Aligner have been nothing but positive. The appli- ance provides an ideal introduction to GDP orthodontics by focusing the user on simple anterior alignment cases and there is great online sup- port from the same clinicians who lead the training courses. These are two aspects I feel are crucial for any young GDP moving into a new dis- cipline within dentistry – simplicity and readily available mentoring. I am now looking forward to train- ing with another IAS orthodontic system, the IAS Clear Aligner, which will open up more options for my patients. Final smile Retention Final RHS Final LHS Calum Imray BSc, BDS, MJDF Dr. Calum graduated from Peninsula Col- lege of Medicine & Dentistry in 2013, be- fore working in mixed practice fi rstly in St. Helens, then in Edin- burgh. He recently made the transition to a private practice in Edinburgh, Stafford Street Dental Care.