Class I malocclusion, gingival recession and crowding

Photo: Koline Institute

Combining aesthetic braces with clear aligners can be highly effective in achieving both functional and aesthetic results.

This clinical case describes the treatment of an adult patient who presents a mesofacial pattern at developmental stage CS6, with a skeletal Class I relationship with severe recession and loss of the vestibular plate in teeth 31 and 41, attributed to a large proclination of these teeth where there is a lack of space in the lower arch. It also includes the presence of an apical focus in tooth 26 and absence of tooth 25.

The patient has a low risk for sleep apnea, suggesting that there are no significant upper airway abnormalities affecting respiratory function.

Gum recession can lead to a variety of problems, including sensitivity, aesthetic concerns, oral hygiene challenges, increased risk of tooth decay, periodontal disease, and even tooth loss.

The treatment involves the combination of the use of aligners in the upper arch and aesthetic braces in the lower arch. In addition, teeth 31 and 41 will be removed to allow the placement of a zirconium bridge along with veneers in the upper arch. In the final stage, the placement of an implant for tooth 25 is scheduled. 

Combining aesthetic braces with clear aligners can be highly effective in achieving both functional and aesthetic results. This approach allows for precise alignment of the teeth, while maintaining a discreet appearance during treatment. Veneers further enhance the final smile by perfecting the shape, color, and overall harmony of the upper arch, ensuring a long-lasting and visually pleasing result.

Process and evolution of the case

20.02.2024

15.04.2024

21.05.2024

04.06.2024

28.08.2024

16.09.2024

05.11.2024

In conclusion, orthodontics is a constantly evolving discipline that not only improves dental aesthetics, but also the health and functionality of the mouth. Understanding its principles and advances can make a difference in the quality of life of many people.

If you want to learn more about this fascinating world, we invite you to discover KOLINE INSTITUTE, a training where you will explore in depth the secrets of orthodontics with the best experts. Don't miss the opportunity to expand your knowledge and transform smiles!

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Written by

Dagmara Wawryla

Digital Agent and Koliner Collaborator

Commitment to excellence

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