CASE STUDIES
Courtesy of Dr. Joe Gray
SureSmile® Aligners
Class l – Crowding
Age: 50 years old
Gender: Male
Patient Primary Concern
Would like to correct crowding that he has noticed has
gotten worse over the past 6 months, clenches and grinds teeth
- Treatment Duration: 9 months
- Number of aligners on upper: 11
- Number of aligners on lower: 18
- Correct crowding
- Make patient a soft splint
- Crowding resolved
- Minor enamel contouring to upper 3-3 completed after treatment
- Mid-range click on the left side from bruxism
- TMJ’s normal
- Airway is normal
Patient Photos
Side Profile
Front with smile
Front No Smile
Upper Occlusal
Lower Occlusal
Right Buccal
Frontal
Left Buccal
Panorex
Lateral Ceph
Courtesy of Dr. Antonino Secchi
SureSmile® Aligners
Mild Class 3 – Crowding
Age: 40 years old
Gender: Male
Patient Primary Concern
Bite doesn’t feel right
- Treatment Duration: 11.5 months
- Number of aligners on upper: 46
- Number of aligners on lower: 41
- Improve alignment of upper and lower incisors
- Lower 3-3 IPR of 3mm to align and slightly upright lower incisors
- Improve coupling of upper and lower canines and in incisors to achieve a better overbite
- Improve arch coordination to remove posterior primary contact causing a co/cr discrepancy (this shift between CO and CR was the reason the patient did not feel his bite was comfortable)
- Successfully achieved coordination of the upper and lower arch to remove the primary contact and shift from CO/CR
- Upper and lower alignment improved, and lower incisors were uprighted a few degrees
- A better overbite was achieved as well
- Mild Class III
- Minor to moderate crowding
- 1mm open bite of right canines and right and left lateral incisors
- CO/CR discrepancy due to primary posterior contact
Patient Photos
Side Profile
Front no smile
Front with Smile
Upper Occlusal
Frontal
Lower Occlusal
Right Buccal
Frontal
Left Buccal
Panorex
Lateral Ceph
Courtesy of Dr. Antonino Secchi
SureSmile® Aligners
Mild Class 3 – Anterior Crossbite
Age: 34 years old
Gender: Female
Patient Primary Concern
Gaps in between teeth
- Treatment Duration: 10.5 months
- Number of aligners on upper: 41
- Number of aligners on lower: 33
- Close all spaces, correct right crossbite
- Increase buccal tip to upper right 3, lingual crown torque to lower right 3
- Coordinate upper and lower arch and maintain the occlusal plane
- Correct midlines and leave adequate space for implant restoration of the lower right second premolar
- All main objectives were achieved
- Crossbite was corrected, upper and lower midlines are aligned, and all spaces were closed
- Mild Class III
- Moderate spacing in upper and lower arches
- Midlines off 1.5mm
- Crossbite upper right lateral incisor and canine
- Missing lower right 5
Patient Photos
Side Profile
Front no smile
Front with Smile
Upper Occlusal
Frontal
Lower Occlusal
Right Buccal
Frontal
Left Buccal
Panorex
Lateral Ceph
Courtesy of Dr. Ed Lin
SureSmile® Aligners
Class l – Mild MX Spacing and Moderate MD Spacing
Age: 26 years old
Gender: Female
Patient Primary Concern
Does not like her smile, has spacing issues, and has concerns about her incisal wear
- Treatment Duration: 9.25 months
- Number of aligners on upper: 15
- Number of aligners on lower: 14
- Move U4-4 and L4-4 for MX and MD arch symmetry and to close spacing
- Correct all rotations and parallel her crowns
- Achieved closure of all MS and MD spacing
- Achieved MX and Md arch symmetry
- Leveled her MX and MD incisal edges
- Slightly asymmetric MX and MD spacing
- MX diastema with mild MX spacing
- Moderate MD spacing
Patient Photos
Side Profile
Front no smile
Front with Smile
Upper Occlusal
Frontal
Lower Occlusal
Right Buccal
Frontal
Left Buccal
Courtesy of Dr. Joe Gray
SureSmile® Aligners
Class l – Crowding
Age: 50 years old
Gender: Male
Patient Primary Concern
Would like to correct crowding that he has noticed has
gotten worse over the past 6 months, clenches and grinds teeth
- Treatment Duration: 9 months
- Number of aligners on upper: 11
- Number of aligners on lower: 18
- Correct crowding
- Make patient a soft splint
- Crowding resolved
- Minor enamel contouring to upper 3-3 completed after treatment
- Mid-range click on left side from bruxism
- TMJ’s normal
- Airway is normal
Patient Photos
Side Profile
Front with smile
Front No Smile
Upper Occlusal
Lower Occlusal
Right Buccal
Frontal
Left Buccal
Panorex
Lateral Ceph
Courtesy of Dr. Antonino Secchi
SureSmile® Aligners
Mild Class 3 – Crowding
Age: 40 years old
Gender: Male
Patient Primary Concern
Bite doesn’t feel right
- Treatment Duration: 11.5 months
- Number of aligners on upper: 46
- Number of aligners on lower: 41
- Improve alignment of upper and lower incisors
- Lower 3-3 IPR of 3mm to align and slightly upright lower incisors
- Improve coupling of upper and lower canines and in incisors to achieve a better overbite
- Improve arch coordination to remove posterior primary contact causing a co/cr discrepancy (this shift between CO and CR was the reason the patient did not feel his bite was comfortable)
- Successfully achieved coordination of the upper and lower arch to remove the primary contact and shift from CO/CR
- Upper and lower alignment improved, and lower incisors were uprighted a few degrees
- A better overbite was achieved as well
- Mild Class III
- Minor to moderate crowding
- 1mm open bite of right canines and right and left lateral incisors
- CO/CR discrepancy due to primary posterior contact
Patient Photos
Side Profile
Front no smile
Front with Smile
Upper Occlusal
Frontal
Lower Occlusal
Right Buccal
Frontal
Left Buccal
Panorex
Lateral Ceph
Courtesy of Dr. Antonino Secchi
SureSmile® Aligners
Mild Class 3 – Anterior Crossbite
Age: 34 years old
Gender: Female
Patient Primary Concern
Gaps in between teeth
- Treatment Duration: 10.5 months
- Number of aligners on upper: 41
- Number of aligners on lower: 33
- Close all spaces, correct right crossbite
- Increase buccal tip to upper right 3, lingual crown torque to lower right 3
- Coordinate upper and lower arch and maintain the occlusal plane
- Correct midlines and leave adequate space for implant restoration of the lower right second premolar
- All main objectives were achieved
- Crossbite was corrected, upper and lower midlines are aligned, and all spaces were closed
- Mild Class III
- Moderate spacing upper and lower arch
- Midlines off 1.5mm
- Crossbite upper right lateral incisor and canine
- Missing lower right 5
Patient Photos
Side Profile
Front no smile
Front with Smile
Upper Occlusal
Frontal
Lower Occlusal
Right Buccal
Frontal
Left Buccal
Panorex
Lateral Ceph
Courtesy of Dr. Ed Lin
SureSmile® Aligners
Class l – Mild MX Spacing and Moderate MD Spacing
Age: 26 years old
Gender: Female
Patient Primary Concern
Does not like her smile, spacing and has concerns about her incisal wear
- Treatment Duration: 9.25 months
- Number of aligners on upper: 15
- Number of aligners on lower: 14
- Move U4-4 and L4-4 for MX and MD arch symmetry and to close spacing
- Correct all rotations and parallel her crowns
- Achieved closure of all MS and MD spacing
- Achieved MX and Md arch symmetry
- Levelled her MX and MD incisal edges
- Slightly asymmetric MX and MD spacing
- MX diastema with mild MX spacing
- Moderate MD spacing
Patient Photos
Side Profile
Front no smile
Front with Smile
Upper Occlusal
Frontal
Lower Occlusal
Right Buccal
Frontal
Left Buccal
LOCATION
Charlotte
5110 Park Rd. Unit 2-A. Charlotte NC 28209
