Lower Teeth Simple Case
Lower teeth simple case crowding less than 3mm.
This lady presented as a typical case of relapsed adult ortho. Crowding was mild but she had noticed the uneven outline of the lower front teeth.
Initially she had considered treatment with invisible braces but it was clear that she was an ideal candidate for an Inman Aligner. Only one single Inman Aligner was required.
This treatment took just 4 weeks to get the teeth aligned. The Inman aligner was left in place for a further 3 weeks and then ortho retention wire was used to bond the teeth permanently.
Lower Teeth Moderate Case
Lower teeth moderate case crowding.
The patient is a 25 year old who complained about the appearance of her lower anterior teeth. She gave a history of orthodontic treatment in her teenage years but was only told to wear a retainer at night for three months.
She had noticed her lower four incisors starting to become crowded again. Treatment options discussed were invisible braces, conventional fixed brackets or an Inman aligner.
The amount of crowding was calculated at 3.5mm. The teeth were aligned in just over 9 weeks. The aligner was left in for a month to stabilize the tooth positions. Tooth whitening was undertaken for two weeks.
Finally orthodontic retention wire was bonded in place on the lingual surfaces ensuring the patient could still use super floss for hygiene.
Lower Teeth Complex Case
Lower teeth complex case crowding above 4mm.
This patient presented having received an orthodontic treatment plan of having her outstanding lower central tooth extracted and then fixed braces on for at least a year to pull the teeth together.
Our concern was that the patient was already suffering from excessive tooth wear and pulling the canines closer and doing so without a restorative treatment plan would merely have exacerbated the problem of a lack of anterior and canine guidance.
Instead an Inman Aligner was used. Interproximal reduction was completed by inducing the domino effect (no more than 0.5mm per contact) and within 10 weeks her teeth were aligned with no extractions necessary.
Direct composite tips were placed on the teeth to correct the wear and the guidance simultaneously with no preparations done to the teeth whatsoever.
Upper Teeth Simple Case
Upper teeth simple case crowding less than 3mm.
This patient was a 25 year old female who over the last 3 years had noticed her upper teeth becoming more crowded. Her upper right central was proclining, her upper left central was slightly retroclining and her upper left lateral was proclining and distally rotating. She had considered alternative options including fixed orthodontics, invisible aligners and even veneers, the preparations of which would have been radical on the upper right central and the upper left lateral.
An Inman Aligner was considered because if the crowding present is less than or equal to 3mm, no extractions are necessary and treatment time is far shorter than conventional methods.
The teeth were aligned within 11 weeks.
She was instructed the use the retainer full time for a month and then to switch to night time wear only.
Upper Teeth Mild Case
Upper teeth mild case crowding more than 3mm.
This patient was a 14 year old at the time of treatment. His upper incisors were rotating and his upper left lateral was drifting palatally. This caused his upper centrals to appear too dominant. He had recently been to an orthodontist who had suggested removal of four second premolar teeth followed by a period of fixed brackets.
An Inman Aligner was considered because if the crowding present is less than or equal to 3mm, no extractions would be necessary.
Space calculation showed that 3mm of crowding was present
The teeth were aligned within 6 weeks. The Aligner was then left in at night time only as a retainer for 4 weeks. The patient is wearing a night-time essix style retainer and has had no relapse 3 years after treatment.
Upper Teeth Complex Case
Upper teeth complex case crowding more than 3.5mm.
This young lady had originally wanted 8 porcelain veneers on her upper anterior teeth. She was attending a wedding in 4 months and was almost going to have her preparations done at another practice when she heard about the Inman Aligner. The preparations would have meant that one or two of her incisors would have had root-treatments. She wanted the treatment done quickly and had totally ruled out having any brackets bonded to her teeth.
After full case options were given, she decided to have an Inman Aligner instead as most cases were completed in less than 16 weeks.
A standard Upper Inman Aligner was made and fitted. Interproximal reduction was carried out over 3 visits and the teeth aligned within 11 weeks. The aligner was used to passively retain the teeth for a further four weeks, after which a bonded wire retainer was placed and tooth home whitening was undertaken. No aggressive veneer preps were necessary and the ultimate ethical solution was found.
Class 2 Mild Case
This young lady presented with a typical mild class 2 div 2 case. She had considered fixed bracket therapy but was being quoted nearly a year for treatment.
An inman aligner was used to retract the laterals and slightly procline the centrals. Very little IPR was required and the case took only 8 weeks to complete.
Class 2 Moderate Case
Class 2 div2 Moderate.
This young lady presented with a classic Class II div 2 occlusion. This case type can be treated extremely effectively with the Inman Aligner. Here, very minimal IPR and 6 weeks of highly compliant Inman Aligner use created a fantastic result.
Class 2 Complex Case
Class 2 div2 Complex.
This gentleman presented with a classic class 2 div 2 malocclusion. He only considered the Inman Aligner because he wanted something that was removable and would fit into his lifestyle. Fixed brackets or any treatment taking longer than 3 months was totally out of the question.
A single aligner was used to straighten the teeth in only 11 weeks. A wire retainer was bonded behind the upper central teeth and tooth whitening was undertaken.
Rotation Case #1
This young lady came to us to rotate her upper right central tooth. She was actually considering veneers to redistribute the space over the four front teeth. This would have meant 3 aggressive preparations and one severe preparation with certain endodontics on the upper right central tooth.
Space calculation showed that treatment would be possible with an Inman Aligner. Because of the relatively low cost risk, she decided on this option understanding that we would not be able to achieve correct golden proportion due to the width and length of her lateral teeth.
Treatment took 13 weeks with 3 sessions of interproximal reduction. A total of 3mm was stripped and 0.75 mm was gained with an expander.
Rotation Case #2
This lady presented initially wanting 8/10 Porcelain Laminate veneers on her upper teeth. On examination of her photos, it was clear that her rotated incisors would need fairly heavy preparations on their most protruded aspects. This would undoubtedly expose dentine, and there would even be a mild risk of pulp exposure.
An upper standard Inman Aligner was constructed. Interproximal reduction was completed over 3 review appointments and was carefully measured and recorded.
Within 3 months the teeth were fully aligned. An Essix type thermoplastic retainer was made and the patient wore this full time for a month and then night time only.
A course of home bleaching was then performed. After a few weeks, direct resin was placed with virtually no preparations. A stainless steel multi-strand retainer wire was then bonded from canine to canine on the palatal surfaces.
The patient was thrilled with the result as we had given her the smile she wanted without any invasive irreversible dentistry. Clearly aesthetic perfection can be achieved more easily with porcelain laminate restorations, but a very pleasing result can also be achieved at far less cost and risk for the patient and the dentist using an Aligner
Expansion Case #1
This young lady was concerned about the irregular appearance of her upper teeth. She was getting married soon and was unwilling to have any treatment taking longer than 6 months or fixed to her teeth.
Her case required a midline expander incorporated onto her Inman Aligner to create a little extra space to allow nearly 5mm of crowding to be corrected This case took only 14 weeks start to finish.
Expansion Case #2
In this case a fan screw was used to create the required space for the UL2 to be aligned. The fan screw also opened the bite enough for the tooth to jump the crossbite.
The expansion took 6 weeks with a z-spring applying light pressure to the UL2. An Inman aligner finished the case in another 6 weeks. Note how much better the gingival aesthetics are.
Expansion Case #3
This case only took 9 weeks to align with an Inman Aligner and a combined expander with NO IPR needed Simple bonding with no prep was used to improve the aesthetic outline.
Retraction Mild Case
This lady complained about her protruding upper central teeth.
By retracting the crowded lower teeth with an Inman Aligner over 10 weeks, space was created to allow the upper teeth to be retracted also using an Inman Aligner. This took a further 10 weeks with one single Inman Aligner.
Retraction Complex Case
This Gentleman wanted his upper front teeth retracted, but did not want fixed braces because of his work and the time involved. He wanted something faster, but he also needed to be able to remove it when he needed. One single Inman Aligner retracted these teeth over a period of 16 weeks and a clear aligner was used to tweak the final result.