case presentation // feature
1
2
A 15-year-old female presented for orthodontic treatment with the complaint that "her
fang was out of place." Initially, traditional
fixed appliances were offered however, this option was quickly rejected since the young lady
was already self-conscious about her smile and didn't want the added distraction of braces. An
alternative treatment plan using ClearCorrect clear aligners was selected.
The patient had no medical problems and no dental problems other than a minimal
amount of attached gingiva on the mandibular central incisors. Oral hygiene was excellent.
Skeletally, she was Class I with a Class I molar relationship. The maxillary right canine was in
crossbite, and maxillary and mandibular incisors were recumbent. Crowding was moderate in
the maxillary arch and mild in the mandibular arch. Figures 1 through 5 show the pretreatment dentition.
After obtaining pretreatment orthodontic records and a signed informed consent form,
treatment began with the Phase 0 aligners. Phase 0 is an important step since it allows the
patient to become used to wearing aligners without having to deal with tooth soreness that is
associated with tooth movement that begins with aligner 1A. Phase 0 aligners also allow the
practitioner to verify the fit of the aligners prior to the fabrication of treatment aligners.
continued on page 62
60
APRIL 2014 // orthotown.com
http://www.orthotown.com
Table of Contents for the Digital Edition of Orthotown April 2014