Orthotown June 2021 - 37

Fig. 11
and enhance the smile arc. The approach
was continued for another eight months,
producing a significant positive change on
the smile arc (Fig. 9).
A pleasant change on the inclination of
Fig. 12
the upper front teeth was noticeable at this
point, mainly due to the intrusive force that
had been applied to the front teeth, which
resulted on upper incisors uprighting.
Finishing bends were introduced at this
stage on the 0.019-by-0.019-inch stainless
steel Pitts Broad in addition to some tooth
recontouring and reshaping to refine the
overall microaesthetic aspect (Fig. 10).
After 30 months of treatment, the
orthodontic appliance was removed and
a set of intraoral and extraoral photos
was taken to evaluate the overall change
(Figs. 11 and 12).
Using the VEO template, the need
for any additional white or pink aesthetic
refinements was assessed. The analysis
revealed the necessity of gingival recontouring
to enhance the pink aesthetics, create a more
natural smile and dramatically change the
overall facial aesthetics. Consequently,
a gingival recountouring procedure was
performed using an ultrapulse diode laser
(Spectralase 980).
The benefits of obsessive detailing on
the microaesthetic principles of gingival
embrasures and the zenith points makes a
huge difference; an intraoral photo (Fig. 13)
was taken just after the laser remodeling
procedure. Final photographs were taken
30 days after the laser procedure.
It took 30 months to reach the final
results (Fig. 14). Occlusally, a solid Class
1 canine and molar relationship have been
achieved, a " socked-in " occlusion has been
attained, and both upper and lower midlines
orthotown.com \\ JUNE 2021 37
Fig. 14
Fig. 13
Fig. 15

http://www.orthotown.com

Orthotown June 2021

Table of Contents for the Digital Edition of Orthotown June 2021

Orthotown June 2021 - Intro
Orthotown June 2021 - Cover1
Orthotown June 2021 - Cover2
Orthotown June 2021 - 1
Orthotown June 2021 - 2
Orthotown June 2021 - 3
Orthotown June 2021 - 4
Orthotown June 2021 - 5
Orthotown June 2021 - 6
Orthotown June 2021 - 7
Orthotown June 2021 - 8
Orthotown June 2021 - 9
Orthotown June 2021 - 10
Orthotown June 2021 - 11
Orthotown June 2021 - 12
Orthotown June 2021 - 13
Orthotown June 2021 - 14
Orthotown June 2021 - 15
Orthotown June 2021 - 16
Orthotown June 2021 - 17
Orthotown June 2021 - 18
Orthotown June 2021 - 19
Orthotown June 2021 - 20
Orthotown June 2021 - 21
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Orthotown June 2021 - 25
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Orthotown June 2021 - 27
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Orthotown June 2021 - 30
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Orthotown June 2021 - 45
Orthotown June 2021 - 46
Orthotown June 2021 - 47
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Orthotown June 2021 - Cover3
Orthotown June 2021 - Cover4
Orthotown June 2021 - Outsert1
Orthotown June 2021 - Outsert2
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