Patient Details
Age
34 years old
Gender
Female
Mild Class III - Anterior Crossbite, Spacing (SureSmile® Aligners)
Patient’s chief complaint(s): Doesn’t like the gaps between her teeth.
Patient presented with spacing in the upper and lower arches and a missing lower bicuspid. Due to the positions of the upper and lower right cuspid in crossbite, she had poor anterior coupling along with poorly coordinated arches.
Learn more about how aligner therapy is used by many doctors prior to implant placement to redistribute and consolidate spaces in this case shared by Dr. Antonino Secchi.
Dr. Secchi is an orthodontist with a private practice in Devon, PA.
Diagnosis
• Mild Class III
• Moderate spacing upper and lower arch
• Midlines off 1.5 mm
• Crossbite upper right lateral incisor and canine
• Missing lower right second bicuspid
Treatment Plan
• Close all spaces
• Correct anterior crossbite on the right side
• Increase buccal tip to upper right cuspid and lingual crown torque of the lower right cuspid to improve the coupling
• Coordinate upper and lower arches and maintain the occlusal plane
• Correct midlines and leave adequate space for implant restoration of lower right second premolar
Treatment Outcome and Follow-up
Modalities: SureSmile® Software, Aligners & Propel Orthodontics VPro ™
Duration: 10.5 months
# Aligners: U – 41 L – 33
All main objectives were achieved:
- Crossbite was corrected
- Upper and lower midlines are aligned
- All spaces were closed
Retention: Upper & lower clear retainer
