A conservative approach to smile design

This entry was posted on Thursday, March 8th, 2018 is filed under Uncategorised.

Align – Bleach – Composite

Patient’s presenting complaint: Overcrowding and teeth look ‘wonky’

Initial assessment: Irregular gum symmetry and overcrowding on the upper teeth created an unattractive smile. Lack of overjet was a major complication coupled with moderate/severe overcrowding of lower arch.

Number of Invisalign aligners: 22 aligners on the upper arch and 32 aligners on the lower arch (Including refinement)

Figure 2:

In photos shown you can see after the initial phase, a lower refinement was carried out to increase the overjet and reduce the black triangle between the lower centrals.

Figure 3:

Following whitening for 7 days, the upper teeth were finished with composite tip replacements on the upper left 1 & 2 and the upper right 1 & 2 to improve symmetry and overall aesthetics.

Before and after composite tip replacements

Dr Buckley is the co-founder of Aligner Consulting. He runs clearbraces.ie which has started 4,000 cases, making them the number one Invisalign account in Europe for 3 years consecutively. He provides both clinical and management support for the clearbraces network supporting the GDP’s that work with him. On average, each of these GDP’s now submit over 100 cases each per year.