Case of the month by Dr Calum Imray

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Treatment carried out by Dr Calum Imray

 

Stafford Street Dental Care
24 Stafford Street
Edinburgh
EH3 7BD

Tel:0131 225 7576
Email: info@staffordstdental.co.uk
www.staffordstdental.co.uk

My first Inman Aligner case involved a young female patient who wanted to correct a mild alignment issue before her wedding. Her main complaint was the slightly protruding upper left central incisor. The mild crowding of the lower anterior teeth did not concern her. The posterior occlusion was stable with a class 1 molar relationship and canine guidance and there was no history of parafunction or cusp fractures.

Spacewize analysis showed approximately 1.6mm of space would need to be created by interproximal reduction (IPR) in order to align the teeth. Considering the beauty of the unrestored anterior teeth and the minimal amount of tooth preparation required in this case, the patient and I agreed that orthodontic alignment and some tooth whitening would be preferable to more extensive restorative approaches such as direct or indirect veneers.

After posting the initial photographs on the online forum and receiving advice from two IAS academy mentors, a full treatment plan and 3D printed models of the potential end result were requested from the lab along with the Inman Aligner itself.

At the fit appointment, a small amount of IPR was performed and the patient was instructed to wear the aligner for around 20 hours per day, removing it to eat and brush. After just 10 days she returned with a noticeable improvement and subsequent rounds of photographs and IPR were posted on the forum every two weeks until the case was complete. In total she wore the Aligner for 10 weeks before a fixed retention wire was placed and was delighted with her results!

Looking back at the case, I realise the importance of consistent positioning for clinical photographs, particularly the occlusal mirror shots. I could have displayed the final results more effectively with a little more care when positioning the mirror. In an ideal world we would also have aligned the very slightly crowded lower incisors before they can move any further & require more extensive IPR, but this was not her primary concern and can be addressed at another time.

The support and guidance from the IAS academy mentors on the online forum throughout the case was fantastic and the speed of tooth movements with the Inman Aligner far exceeded my expectations.

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