Clear Aligner Treatment as a Safe Method for Treating Occlusal Trauma in Elderly Patients
Abstract
:1. Introduction
2. Case Report
- Hygienic preparation, short orthodontic treatment with small forces and then stabilization of the effects. Due to horizontal bone atrophy, bone regeneration procedures were not planned.
- Pretreatment occlusion scan using the iTeroTM 5.0 scanner, extracted into OrthoCAD 5.9.1.50 software (Align Technology, San Jose, CA, USA) (Figure 4), extra- and intraoral images taken with the Invisalign Practice App (Align Technology, San Jose, CA, USA) and pantomogram (Figure 5). Based on the iTeroTM 3D scan (Align Technology, San Jose, CA, USA) and occlusal examination, it was decided to use the Invisalign® system (Align Technology, San Jose, CA, USA) with the Express 1 arch subtype—the shortest possible treatment with seven aligners (and seven additional aligners) involving only the upper arch because the aim was to eliminate the occlusal injury of one tooth by its intrusion and a change of the anterior–posterior and mesiodistal inclination. The first treatment plan was performed using the ClinCheck 6.0 software (Align Technology, San Jose, CA, USA), which assumed movements of tooth 21—the main movement was a palatal inclination of the crown by 4.4 degrees, a distortion by 3.3 degrees and an intrusion by 0.4 mm (Figure 6). The analysis of this plan showed that it was impossible to eliminate the traumatic occlusion when changing the position of only one tooth in the arch (Figure 7)—the analysis showed numerous abnormal occlusal contacts.
- Movements of tooth crowns in the lower arch. Visible leading moves tooth no. 4.3 lingual inclination, distorotation, lingual translation; 4.2 distorotation, lingual inclination, intrusion; 4.1 lingual inclination, lingual translation; 3.2 lingual inclination and intrusion; 3.3 lingual inclination, distorotation, distal angulation, intrusion.
- Figure 8. (a) Movements of tooth crowns in the upper arch. Visible leading moves, 1.3—distortion, 1.1—distortion and buccal inclination, 2.1 distortion. (b) Movements of tooth roots in the upper arch. Leading movements tooth no. 1.3 distorotation, 1.2 distorotation, 1.1 distorotation and lingual inclination, 2.1 buccal inclination (c).
- Figure 8. Movements of tooth crowns in the lower arch. Visible leading moves tooth no. 43 buccal inclination, 4.2 distorotation and buccal inclination, 3.2 distorotation, buccal inclination, z. 3.3 distorotation and buccal inclination.
- Figure 8. Movements of tooth crowns in the lower arch. Visible leading moves tooth no. 43 buccal inclination, 4.2 distorotation and buccal inclination, 3.2 distorotation, buccal inclination, z. 3.3 distorotation and buccal inclination.
Patient Perspective
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Machoy, M.; Tomasik, M.; Samulak, R.; Brzezińska-Zając, A.; Woźniak, K.; Szyszka-Sommerfeld, L. Clear Aligner Treatment as a Safe Method for Treating Occlusal Trauma in Elderly Patients. Appl. Sci. 2023, 13, 9506. https://doi.org/10.3390/app13179506
Machoy M, Tomasik M, Samulak R, Brzezińska-Zając A, Woźniak K, Szyszka-Sommerfeld L. Clear Aligner Treatment as a Safe Method for Treating Occlusal Trauma in Elderly Patients. Applied Sciences. 2023; 13(17):9506. https://doi.org/10.3390/app13179506
Chicago/Turabian StyleMachoy, Monika, Małgorzata Tomasik, Renata Samulak, Aleksandra Brzezińska-Zając, Krzysztof Woźniak, and Liliana Szyszka-Sommerfeld. 2023. "Clear Aligner Treatment as a Safe Method for Treating Occlusal Trauma in Elderly Patients" Applied Sciences 13, no. 17: 9506. https://doi.org/10.3390/app13179506
APA StyleMachoy, M., Tomasik, M., Samulak, R., Brzezińska-Zając, A., Woźniak, K., & Szyszka-Sommerfeld, L. (2023). Clear Aligner Treatment as a Safe Method for Treating Occlusal Trauma in Elderly Patients. Applied Sciences, 13(17), 9506. https://doi.org/10.3390/app13179506