June 14th, 2012
Invisalign is not available in many countries and yet patients want it.
Recently I treated a patient who was in fact English, but worked in Hong Kong.
His dilemma was that he did not like his teeth/smile and yet could not walk around mid 40s wearing metal braces. He wanted an aesthetic/removable solution.
I assessed him to severely crowded with an underbite ( which is technically an overjet where the lower jaw was set back ).
We spent an hour assessing his occlusion and I advised him that to reduce the underbite and correct the severe crowding I would need to remove 2 upper premolar teeth.
As he could not attend every 4-6 weeks, I placed him on a 2 month review programme with a leniency of 2 more weeks.
I was able to do that because of 3 things:
1 Because I am great at what I do lol
2 Extractions creates space that can be accurately measured by Align Tech. and the planning is more predictable
3 I would not need to do any interproximal stripping on a regular basis
So we agreed to start.
I noticed some cavities around the premolars and advised him to have them treated in Hong Kong.
Whilst the clinchecks were being programmed from the impressions I removed the 2 lower teeth under local anaesthetic.
Aligners were fitted initially with no attachments for 8 weeks, as his crowding was so severe and he was going to be away.
During the year treatment the patientt switched from HK to Africa and Libya but this presented no problems to his treatment.
As his extraction spaces closed, his anterior crowding began to correct itself.
I reviewed him every 8 weeks and he had no problems in scheduling his appointments in advance.
A year has passed and he is at the refinement stage. New impressions were taken for minor anterior correction.
See what you think.
June 12th, 2012
I was so broke in 2004,spending money left right and centre ( or on upper left, lower right and central incisors ) that I had to find a way out of my predicament.
An orthodontist had introduced me to INviisalign by playing their corporate video.
I was so impressed that an general dentist could do ortho that I signed up.
I did the 2 day course, but being in an overdraft scenario I could not prepay the course, so Alison would not give me my certificate
Eventually my cheque went through and I was a certified Invisalign Monkey.
Anyway my first patient came in through the door and wanted a consultation on upper and lower veneers.
He had proclined teeth with multiple gaps and large fleshy lips. He was causasian.
I could have made £15-20,000 but I told him:
His teeth stick out
He has very large gaps
If I do veneers I cannot bring in the teeth much
and the veneers will be too big for his already wide mouth
In fact he would have looked like the Mask (Jim Carey)
So without hesitation I took his money and did 20 veneers ……
I told him with my hand on my heart that he needed braces. I told him that he would be my first case and that Invisalign would be perfect for him.
He handed over £4000 and I took impressions.
I fitted his aligners, but he never came in for reviews.
I was dying to see the progress but never got to see the results.
I rang him to enquire and he just said that all was progressing nicely and that he was happy.
So my first case, but no photos.
Gaps are so easy to close with Invisalign that I can close them with my eyes closed. |Next time I will show you a case that I did in 2 visits only.
Below is the initial scan of my first Invisalign patient and the hopefully finished case.