Aligner Techniques in Orthodontics. Susana Palma Moya
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20 Chapter 23Fig. 23.1 First premolar extraction, G6 protocol.Fig. 23.2 Lower incisor extraction, with vertical attachments on the remaini...Fig. 23.3 Powerchain helps close final spacing.Fig. 23.4 Perfect root parallelism after tooth extraction commonly needs the...Fig. 23.5 Initial intraoral view.Fig. 23.6 Pretreatment extraoral and intraoral views.Fig. 23.7 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 23.8 Upper and lower CC superimposition and instructions to CAD designe...Fig. 23.9 Attachments can be seen in several areas of the ClinCheck software...Fig. 23.10 Lateral ClinCheck views.Fig. 23.11 Intraoral view.Fig. 23.12 Initial (upper)and final (lower) views.Fig. 23.13 Initial and final occlusal.Fig. 23.14 Initial and final smile.Fig. 23.15 Final panoramic and lateral X‐rays: good final parallelism betwee...Fig. 23.16 Initial intraoral view.Fig. 23.17 Initial extraoral and intraoral views.Fig. 23.18 Occlusal contact at the beginning of the treatment.Fig. 23.19 Periodontal bone loss in upper incisors.Fig. 23.20 Initial teleradiograph and cephalometry.Fig. 23.21 Upper occlusal interproximal reduction to avoid excessive proclin...Fig. 23.22 Pontic for extracted 42. Bevelled attachment on lateral incisors ...Fig. 23.23 Interproximal reduction of upper arch and lower incisor extractio...Fig. 23.24 Lateral ClinCheck views.Fig. 23.25 Initial (upper) and evolution 11 months of treatment (lower).Fig. 23.26 Finishing refinement. Posterior elastic is used to settle the occ...Fig. 23.27 Initial (upper) and final occlusion (lower). Adequate parallelism...Fig. 23.28 Occlusal contact point at the end of the treatment.Fig. 23.29 Initial and final occlusal.Fig. 23.30 Initial and final smile and overjet.Fig. 23.31 Final panoramic and lateral X‐rays.Fig. 23.32 The canine and second premolar in this picture would be ideal for...Fig. 23.33 Extraction of first premolars, absolute anchorage: 0 mm posterior...Fig. 23.34 Extraction of first premolars, maximum anchorage: 0–2 mm posterio...Fig. 23.35 G6 protocol is considered a full system for space closure, theref...Fig. 23.36 Moderate anchorage protocol will start with canine and posterior ...Fig. 23.37 Moderate anchorage protocol will start with canine and second pre...Fig. 23.38 A popular pattern in Asia for extraction space closure.Fig. 23.39 The selection of bonding hooks or buttons has to be carefully pla...Fig. 23.40 Extraction of 5s with minimum anchorage.Fig. 23.41 With the double vertical attachment in molars the intrusion of th...Fig. 23.42 With the Powerarm attachment in molars at the final aligners we c...Fig. 23.43 Staggered technique for second premolar extraction.Fig. 23.44 Staggered technique for first molars extraction.Fig. 23.45 Retroclined incisors might mean increased overbite and need root ...Fig. 23.46 Powerarms are great auxiliaries in achieving root parallelism.Fig. 23.47 Undesired effects of brackets and wires are quite similar to the ...Fig. 23.48 Absolute anchorage with temporary anchorage devices.Fig. 23.49 Pretreatment extraoral and intraoral views.Fig. 23.50 Initial panoramic and lateral X‐rays, and cephalometry.Fig. 23.51 Upper CC superimposition and instructions to CAD designer.Fig. 23.52 Lower CC superimposition and instructions to CAD designer.Fig. 23.53 Lateral Clinchecks.Fig. 23.54 Front ClinCheck view in which we can check deep bite and midline ...Fig. 23.55 Asymmetry is clear from both a vertical and saggital perspective....Fig. 23.56 Pure intrusion of lower incisors from TADs (right, front and left...Fig. 23.57 Treatment evolution.Fig. 23.58 Evolution with aligners. Initial (left) and evolution at 3 months...Fig. 23.59 Posterior teeth have distal root tipping movement planned.Fig. 23.60 TADs are included in the doctor’s treatment plan with these diagr...Fig. 23.61 Initial frontal view.Fig. 23.62 Initial intraoral views.Fig. 23.63 Initial extraoral views.Fig. 23.64 Initial Clinchecks.Fig. 23.65 Refinement: intraoral views after first set of aligners.Fig. 23.66 Refinement: extraoral views after first set of aligners.Fig. 23.67 Refinement Clinchecks.Fig. 23.68 Intraoral views of smile at the end of treatment.Fig. 23.69 Final panoramic X‐ray to check final root paralellism between 13 ...Fig. 23.70 initial frontal view.Fig. 23.71 Initial intraoral views.Fig. 23.72 Initial extraoral views.Fig. 23.73 Initial teleradiograph, and lateral and panoramic X‐rays.Fig. 23.74 Initial Clinchecks.Fig. 23.75 Refinement: intraoral views showing exact position predicted on C...Fig. 23.76 Refinement: Clinchecks showing space mesial to 18.Fig. 23.77 Second refinement: intraoral pictures after two sets of aligners....Fig. 23.78 Second refinement: smile after two sets of aligners.Fig. 23.79 Second refinement: extraoral views after two sets of aligners.Fig. 23.80 Refinement: Clinchecks showing final vertical engagement.Fig. 23.81 Intraoral views after treatment.Fig. 23.82 Final teleradiograph and panoramic X‐ray showing improvement in p...Fig. 23.83 Current extraoral pictures.Fig. 23.84 Initial frontal view.Fig. 23.85 Initial Intraoral views.Fig. 23.86 Initial panoramic X‐ray and teleradiograph.Fig. 23.87 Initial smile.Fig. 23.88 Initial Clincheck with posterior spacing.Fig. 23.89 Refinement: Clincheck with posterior residual spacing, it can be ...Fig. 23.90 Refinement: the midline has been centred and exposure increased; ...Fig. 23.91 Refinement Clinchecks.Fig. 23.92 Second refinement: intraoral views.Fig. 23.93 Second refinement: space distal to 17 can be observed on the pano...Fig.