By: Dr. Elizabeth Eggert
Where did this start?
Ted has been a loyal patient of Eggert Family Dentistry and Dr. Elizabeth Eggert for over 13 years. Ted was having an issue with chipping of his front teeth. Over the years the enamel of his front teeth started to get thinner. This was mostly because of the tooth positions of his lower front teeth. Dr. Elizabeth talked with Ted about orthodontic movements to help increase the longevity of any future restorations, but Ted wasn’t ready to do anything until he additionally bumped his front tooth and because of the weak enamel, a significant chip occurred. Ted still wasn’t ready for orthodontics and asked Dr. Elizabeth to start by simply fixing the tooth with composite.
Fast forward nearly 2 years and Ted started to notice the enamel thinning again with his front teeth. He understood that the lower front tooth positions put more strain on his edges and he was ready to talk about Invisalign options for orthodontic tooth movement.
What was involved?
Dr. Elizabeth gathered the records needed for Invisalign orthodontic treatment. She sent impressions, photos, and x-rays of Ted’s teeth to Invisalign where they created a 3D simulation, called a clincheck, to show how his teeth could move with Invisalign treatment. Ted was very happy with the simulation, which showed a significant improvement to his crowding, especially on the lower front teeth and he decided to move forward with Invisalign.
Ted’s case was expected to consist of 19 aligners that he would wear for one to two weeks at a time for 9-12 months. As part of Ted’s Invisalign treatment, Dr. Elizabeth included “bite ramps” on his aligners because he clenches heavily on his teeth. Bite ramps prevent patients from being able to bite down completely and clench. They help give the muscles a “stop” point and remind the muscles to stay in a more relaxed position. Ted was consistent in wearing his aligners as instructed.
After his Invisalign treatment was complete, Dr. Elizabeth made minor alterations to the biting surface of some of Ted’s teeth to remove interferences and even out his bite. This process is called equilibration and will help prevent further wear on Ted’s new smile. Once the equilibration was complete and Ted completed some whitening with Opalescence whitening solution at home, Ted was ready to strengthen his front teeth with composite bonding. Dr. Elizabeth added resin plastic filling material to his central incisors. Because his teeth are now in a better position, it was even possible to add a little length to Ted’s teeth, giving him a more youthful smile.
What does Ted think?
Ted said “I wanted my teeth fixed! I was more curious than anything as I read about orthodontic options online. I am happy I chose to do Invisalign with Dr. Elizabeth, but I wasn’t sure how long it would take.” Ted was really happy with the results and said that it was not nearly as bad as he had initially anticipated. He was concerned about not being able to eat and drink with the aligners in, but after living with them awhile, he realized it wasn’t as bad over the course of the year as he thought it would be. “They still are a bit inconvenient” but “well worth it.” When asked what he would say if he were talking to someone considering getting this type of treatment done, Ted noted he would tell them it’s “Absolutely worth it!” Ted, thank you for putting your trust in us to complete your care! We love your new bright smile and are happy that with the tooth movements, the results will be much more stable over the long-haul! Congratulations!