The Clear Chronicles - An Invisalign Treatment Blog

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ShiAnn

Chief Complaint:

Teeth becoming more crowded


Kelly

Chief Complaint:

Cannot bite front teeth together


Daniel

Chief Complaint:

Crowding of front teeth


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About Dr. Clark

Dr. Clark D. Colville is an assistant clinical professor in the Orthodontic department at the University of Texas Health Science Center Houston Dental Branch. Dr. Colville graduated from UTHSC San Antonio Dental School in 1989 and received a certificate from St. Francis Hospital and Medical Center the following year after completing a hospital-based general practice residency. In 1993 he completed his graduate orthodontic training at UTHSC Houston Dental Branch and received both a certificate and a Master's degree.


» Dr. Clark Colville’s Bio

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Shiann: Post treatment, Retention

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).

Right Occlusion Post
Figure 1
Anterior Final
Figure 2
Left Occlusion Post
Figure 3
Anterior Occlusion Final
Figure 4
Anterior Occlusion Post
Figure 5
Initial Panorama
Figure 6
Panorama July 2009
Figure 7
Panorama August 2009
Figure 8
Anterior Initial
Figure 9
Anterior Occlusion Post
Figure 10

Final PVS impressions were made and submitted for fabrication of Vivera retainers. Two weeks later the Vivera retainers were delivered and the fit was very accurate (Figure 5).

And now the final verdict is in on the root resorption of the anterior teeth. Digital x-rays were made on 8-21-2009 of the upper anterior teeth by her restorative dentist (Figures 6, 7, 8).

The teeth are stable with no mobility. With the real possibility of losing both of these teeth at the start of retreatment (Figure 9), I am thrilled with the outcome and the amount of root structure that was maintained (Figure 10).