situation after first set of aligners.Fig. 23.119 Refinement: initial extraoral views.Fig. 23.120 Final views with veneers bonded (aesthetic treatment performed b...Fig. 23.121 Views at start and after refinement with veneers.Fig. 23.122 Final cephalometric measurements.
21 Chapter 24Fig. 24.1 Initial intraoral view.Fig. 24.2 Pretreatment extraoral and intraoral views.Fig. 24.3 Initial: teleradiograph, cephalometry and panoramic X‐rays.Fig. 24.4 Initial occlusal contact point.Fig. 24.5 Occlusal ClinCheck views.Fig. 24.6 Lateral ClinCheck views.Fig. 24.7 Interproximal reduction was not planned in the ClinCheck, but was ...Fig. 24.8 Initial frontal Clincheck view.Fig. 24.9 Situation before additional aligners. Results after the first set ...Fig. 24.10 Initial (upper) and final (lower) occlusion. Final result after r...Fig. 24.11 Initial (left) and final (right) occlusals.Fig. 24.12 Initial and final smile.Fig. 24.13 Final panoramic and lateral X‐rays.Fig. 24.14 Initial intraoral view.Fig. 24.15 Pretreatment extraoral and intraoral views.Fig. 24.16 Initial occlusal contact.Fig. 24.17 Panoramic and lateral X‐rays. Cephalometric analysis.Fig. 24.18 Opening space for missing 23.Fig. 24.19 interproximal reduction 3 to 3 to allow lower incisors retraction...Fig. 24.20 Initial lateral ClinCheck views.Fig. 24.21 Powerarm to make roots of 25 and 24 closer.Fig. 24.22 Evolution at 12 months.Fig. 24.23 Evolution after using additional aligners.Fig. 24.24 Final views with implant for 13.Fig. 24.25 Initial (left) and final (right) occlusal.Fig. 24.26 Initial and final overjet.Fig. 24.27 Evolution of the patient’s smile (from left): initial, before add...Fig. 24.28 Final panoramic X‐ray with implant for 23.Fig. 24.29 Final teleradiograph with overjet corrected.Fig. 24.30 Initial left intraoral view.Fig. 24.31 Pretreatment extraoral views.Fig. 24.32 Pretreatment intraoral views.Fig. 24.33 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 24.34 Initial views and views after placing provisional crowns over the...Fig. 24.35 Initial occlusal ClinCheck views.Fig. 24.36 Initial lateral ClinCheck views.Fig. 24.37 Initial front ClinCheck view.Fig. 24.38 Biomechanics applied to the treatment plan.Fig. 24.39 Initial (upper) and final (lower) views: the incisal edges were r...Fig. 24.40 Initial (left) and final occlusal (right).Fig. 24.41 Initial and final panoramic X‐rays: levelling of the occlusal pla...Fig. 24.42 Initial and final smile.Fig. 24.43 Initial frontal intraoral view.Fig. 24.44 Initial extraoral and intraoral views.Fig. 24.45 Initial panoramic X‐ray, teleradiograph and cephalometry: upper m...Fig. 24.46 Mock up to estimate vertical dimension.Fig. 24.47 These are the intraoral views when the case was sent to Align Tec...Fig. 24.48 Initial upper ClinCheck.Fig. 24.49 Initial lower ClinCheck.Fig. 24.50 Initial lateral ClinChecks.Fig. 24.51 Initial frontal Clincheck.Fig. 24.52 class II elastic from upper canine to lower first molar (night us...Fig. 24.53 Initial and final occlusion.Fig. 24.54 Final panoramic and lateral X‐rays.Fig. 24.55 Comparison of initial and final smile and overjet.Fig. 24.56 Simulation of force vectors applied by a Locatelli spring.Fig. 24.57 Locatelli to open space for implanting 35 and 45.Fig. 24.58 Distalization of molars from temporary anchorage devices and mesi...Fig. 24.59 The sequence of opening space for implants of 35 and 45, helping ...Fig. 24.60 Initial intraoral view.Fig. 24.61 Pretreatment intraoral views.Fig. 24.62 X‐ray analysis (panoramic, teleradiograph and cephalometry): norm...Fig. 24.63 Initial occlusal, upper and lower ClinCheck views.Fig. 24.64 Initial left and right ClinCheck views.Fig. 24.65 Initial front ClinCheck view.Fig. 24.66 Intraoral views: right, upper, lower with the Locatelli and the a...Fig. 24.67 Intraoral views: right, front, left with the Locatelli.Fig. 24.68 Intraoral views at the beginning and after placing the implants....Fig. 24.69 Intraoral views after loading implants.Fig. 24.70 Intraoral views before and after treatment (upper and lower occlu...Fig. 24.71 Comparison of smile and overjet before and after treatment.Fig. 24.72 Final panoramic and lateral X‐ray.Fig. 24.73 Skeletal Class I with spacing.Fig. 24.74 Extra palatal root torque to anterior sector, selecting multiple ...Fig. 24.75 Initial intraoral views.Fig. 24.76 Initial Clinchecks.Fig. 24.77 Refinement: after first set of aligners, gingivectomy was perform...Fig. 24.78 Refinement: intraoral images taken before scanning for additional...Fig. 24.79 Refinement: extraoral views.Fig. 24.80 Refinement ClinChecks.Fig. 24.81 Intraoral views and smile at the end of treatment.Fig. 24.82 Intraoral view.Fig. 24.83 Initial intraoral views.Fig. 24.84 Initial panoramic and lateral X‐rays.Fig. 24.85 Initial Clinchecks.Fig. 24.86 Final Intraoral views.Fig. 24.87 Pretreatment and final smile.Fig. 24.88 Final: anterior intrusion is visible on comparison of panoramic X...Fig. 24.89 Intraoral view.Fig. 24.90 Initial cephalometric measurements.Fig. 24.91 Initial intraoral views.Fig. 24.92 Initial Clinchecks.Fig. 24.93 Refinement: intraoral views.Fig. 24.94 Refinement: change of scan to include molars and increased anchor...Fig. 24.95 Refinement Clinchecks.Fig. 24.96 Final intraoral views.Fig. 24.97 Final smile.
22 Chapter 25Fig. 25.1 Aesthetic protocol for veneers preparation with aligners.Fig. 25.2 Anterior teeth width has to be determined carefully in order to en...Fig. 25.3 This bilateral full Class II case has an abnormal 11 size and shap...Fig. 25.4 Auxiliary buttons and Powerchains are used to help with a severe 9...Fig. 25.5 Mesial and distal spacing is planned at the end of the case for a ...Fig. 25.6 The left image is complex if we have to create anterior spacing fo...Fig. 25.7 Transverse space planning is made with protrusion, leaving 0.2 mm ...Fig. 25.8 After no space‐making mesial or distal to affected toot, transvers...Fig. 25.9 After 1.3 mm space planning, this only happens in the lateral with...Fig. 25.10 After attachment and threefold overcorrection, nonpredictable ant...Fig. 25.11 Align’s overjet concept might be different from the one the pract...Fig. 25.12 Natural arch depth loss owing to large posterior expansions has t...Fig. 25.13 In this patient, if 11 is in a proper incisal position we might p...Fig. 25.14 Incisors and canines have usually higher gingival margins than la...Fig. 25.15 This spacing is an example of how final gingivectomy might help i...Fig. 25.16 Incisors and usually canines have higher gingival margins than la...Fig. 25.17 This patient had a selective whitening treatment, focusing more o...Fig. 25.18 Patients habits, included smoking and drinking coffee on a daily ...Fig. 25.19 Bolton discrepancy in upper incisors as well as a maxillary skele...Fig. 25.20 Initial intraoral views.Fig. 25.21 Initial extraoral pictures.Fig. 25.22 Initial lateral and panoramicX‐rays.Fig. 25.23 Initial Clinchecks.Fig. 25.24 MARPE: the design was made considering that aligners would be tri...Fig. 25.25 MARPE: iTero software occlusal analysis.Fig. 25.26 Cone beam computed tomography and panoramic X‐ray and after MARPE...Fig. 25.27 Refinement: after 11 months the patient had the MARPE removed. Th...Fig. 25.28 Refinement Clinchecks.Fig. 25.29 Intraoral and extraoral views of smile before and after treatment...Fig. 25.30 Intraoral views before and after treatment.Fig. 25.31 Final extraoral views.Fig. 25.32 Final panoramic and lateral X‐rays.Fig. 25.33 Initial and final cephalometric analysis.Fig. 25.34 Previous cantilever bridge provided smile aesthetics that were un...Fig. 25.35 The Bolton tool was used to set space neededFig. 25.36 Initial intraoral views.Fig. 25.37 Initial Clinchecks.Fig. 25.38 Initial smile.Fig. 25.39 Refinement: intraoral views.Fig. 25.40 Refinement Clinchecks.Fig. 25.41 Final intraoral views before fitting veneers.Fig. 25.42 Final X‐ray views.Fig. 25.43 Change in smile after ceramic restoration (Dr Ignacio Vázquez Nat...Fig. 25.44 Tooth wear on anterior teeth led to severe attrition of 11–21.Fig. 25.45 Initial intraoral views.Fig. 25.46 Initial lateral and panoramic X‐rays and cephalometric analysis....Fig. 25.47 Initial Clinchecks.Fig. 25.48 Final intraoral views.Fig. 25.49 Final panoramic and lateral X‐rays.Fig. 25.50 Final smile after veneer bonding (work performed by Dr Ignacio Va...Fig. 25.51 Patient wanted to improve smile aesthetics with veneers, for whic...Fig. 25.52 Lower/upper cone beam computed tomography.Fig. 25.53 Bolton analysis showed possibility for lower premolar interproxim...Fig. 25.54 Initial intraoral views.Fig. 25.55 Initial cephalometric analysis.Fig. 25.56 Initial ClinChecks.Fig. 25.57 Refinement: the second Clincheck showed change from edge‐to‐edge ...Fig. 25.58 Refinement: intraoral