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ePaper created 2018-02-16, 11:17:41 | version 1.38.0
CAD/CAM-assisted treatment industry report | Fig. 3: Clinical situation initially. Worn anterior dentation and compensatory overeruption. Fig. 4: Clinical situation after nine months of clear aligner therapy. Total of 2 mm of intrusion was achieved. Fig. 3 Fig. 4 passion for teeth with my patients, who clearly enjoy keeping track of what I am doing and why. The case described as follows is an apt example of precisely this. Stronger together! A female patient (43 years old) came to us with a rather unusual problem: she experienced discom- fort when talking, and it also appeared as if she was edentulous. Her upper lip was thin and shortened; she appeared significantly older than her years. This was due to abraded anterior and posterior teeth caused by severe bruxism (Figs. 1 & 2). Following a detailed consultation, it was decided that the patient would firstly undergo short ortho- dontic treatment. Due to the abrasion, both maxillary and mandibular incisors were compensatory over- erupted. This creates a situation where all teeth and gingiva moves. In order to correct this kind of situa- tion, we first have to intrude the incisors. This leads to a situation before the eruption and to an open bite anterior. The aim was to intrude the incisors to their original position and to create space for no-prep veneers. The second goal was to add as much upper lip support as possible. This can be then corrected with no-prep veneers. Fig. 5 Fig. 6 Fig 5: Result after nine months of orthodontic treatment… Fig. 6: …and after placement of the veneers in the maxilla. Fig. 7: Preparing the mandible for the veneers. Fig. 7 CAD/CAM 4 2017 33