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Dr. Perry Jones is a 1974 graduate of Virginia Commonwealth University Dental School, where he is currently an adjunct faculty associate professor in both the Oral Maxillofacial Surgery department and the Oral Pathology department. A general dentist, he is a Fellow of the Academy of General Dentistry and maintains an active private practice in Richmond, Virginia.
» Dr. Perry Jones' Bio
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Blogs
September 21, 2009 - 12:34pm
ShiAnn
Chief Complaint:
Teeth becoming more crowded
As reported in the last treatment blog, ShiAnn was in a Hawley retainer with a bite plane and we were expecting the posterior occlusion to settle. ShiAnn returned in 6 weeks and the posterior teeth had settled adequately into functional occlusion. The gingival tissue responded well to the laser recontouring and I decided to add bonding to the mesial-incisal corner of both upper lateral incisors to make them look more natural (Figures 1, 2, 3, 4).
September 21, 2009 - 12:33pm
Kelly
Chief Complaint:
Cannot bite front teeth together
Kelly has completed all 15 of her refinement aligners and is currently awaiting delivery of her Vivera retainers. The following will outline her final treatment visits.
The aligners were delivered in series of 5, and were worn for 1 week each. At the delivery of the final 5 refinement aligners (11 – 15), the upper right lateral and cuspid were not completely tracking. Tight contacts were noted and reduced using a hand-held flexible strip. The remaining teeth in the arch were tracking well, including the lower arch (Figures 1, 2, 3).
September 21, 2009 - 12:33pm
Daniel
Chief Complaint:
Crowding of front teeth
Daniel has been wearing his Vivera retainer full time since April 2009. Initially, the retainer was used to recapture the exact position of the teeth at the end of case refinement. After he had lost a Hawley retainer, the initial fit of the Vivera revealed there had been some shifting of the upper teeth because the retainer did not fully seat. After wearing the Vivera for 2 weeks, the teeth were fully seating in the retainer. I added dimples using the dimple plier to add retention in the posterior areas.
August 10, 2009 - 8:59am
Justin
Chief Complaint:
Crowding of front teeth
The photos show Justin’s completed tooth movement. You will notice in the intraoral pictures with the aligners in place, on the right side, you can see through the aligner to the healing abutment of the implant in the #29 area. The aligners fit the teeth, and the space distribution for the implant restoration is equal to the M-D width of the first bicuspid #28.
August 10, 2009 - 8:59am
Sheena
Chief Complaint:
Spaces between front teeth
Sheena returned for her monitoring visit having completed wear of upper aligner 14 and lower aligner 13. These were the last stages of the original case. The photos show the intraoral standard views with and without the aligners. The space has closed but there remains some “openbite” in the bicuspid areas. This is likely the result of the “relative” intrusion effect of the retraction of the teeth to close the spaces. A refinement will be done to give some additional aligners to help improve the posterior occlusion.
August 10, 2009 - 8:57am
Stephanie
Chief Complaint:
Teeth becoming more crowded
Aligner Delivery 16-18Stephanie reports that she is doing well and is most compliant. As can be seen in the photos with the aligner in place, the aligners fit well with little on no space between the occlusal portion of the teeth and the internal occlusal portion of the aligner plastic. The contacts were checked, as is the case at each monitoring visit, and there were no tight contacts. In this case, no additional IPR was indicated.
May 27, 2009 - 8:12am
Stephanie
Chief Complaint:
Teeth becoming more crowded
It looks like Stephanie is progressing well. After checking the contacts with floss we discovered several areas with tight contacts. Using the “sequential/incremental” method to execute interproximal reduction (IPR), we elected to perform IPR at these tight contacts. The tight contacts were at contacts 22-23, 23-24, 24-25, 25-26, 26-27. The IPR prescription approximation called for a total of 0.3mm IPR at each of these contacts.
May 27, 2009 - 8:11am
Sheena
Chief Complaint:
Spaces between front teeth
Sheena was unable to return to the office for a scheduled monitoring visit at aligner 10 but did continue consistent aligner wear and presented having completed wear of aligner #12. Sheena continues to track well, and is only a few aligners away from the original predicted finish. She did not report any problems and is anxious to finish her treatment.
May 27, 2009 - 8:09am
Justin
Chief Complaint:
Crowding of front teeth
Justin has completed aligner wear and presents having finished wearing upper aligner #11 and lower aligner #10. As you can see in the photos, the arch shape looks good but there are several anterior rotations and some arch form symmetry to complete. At this point the results are good but need some additional movements for a “stellar” finish. The solution is to use a refinement that is included with the Invisalign Full product. The refinement provides for a new ClinCheck that we may modify to create a new series of aligners to achieve the desired results.
May 1, 2009 - 8:19am
ShiAnn
Chief Complaint:
Teeth becoming more crowded
ShiAnn’s treatment was completed after all 35 upper and lower aligners were worn for the prescribed period. Case refinement was expected as the final phase of treatment. However, close evaluation at the completion of aligner 35 revealed that case refinement was not necessary.
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