September 2022
Vick, 31:
- I have been to several orthodontists who told me that they may not be able to close my gaps. I want my gaps closed and I want to smile. 
Examination:
- Comprehensive dental exam including a full mouth series of X-rays, panoramic, and Ceph. 
- Periodontal exam, routine dental cleanings 
- Excellent oral hygiene, dental work completed and no decay present. 
Evaluation:
- Anterior open bite and spacing (canine - canine) due to tongue thrust 
- Airway was checked and patient was cleared for Ortho 
- Midline off to patients R - 1-2 mm 
Treatment:
- 3.5 months - Invisalign therapy 
- 2 aligners - 2 week wear 11 aligners - 1 week wear 
- Munchies through entire treatment - used upon every insertion, and 20 minutes throughout the day 
- Upper and Lower anterior lingual bonded retainers and 4 sets of Vivera over the bonded retainers. 
- Going on 3 year follow up, still perfectly aligned 
Case provided by Dr. Nadia Saad
 
          
        
       
                 
                 
                