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ORTHODONTIC SECTION

ORTHODONTIC MANAGEMENT WITH IN-HOUSE

ALIGNERS: A CASE REPORT

Sagar Dombe

INTRODUCTION CASE REPORT
Orthodontics has seen remarkable advancements with the advent of Patient Profile
intraoral scanners, aligner systems, and digital planning tools. All The patient presented with multiple dental and skeletal concerns:
these years, orthodontics has been searching for an ideal appliance • Proclination and spacing
for teeth movement. The appliance should be invisible, removable, • Narrow arch
comfortable, accurate, predictable, fail safe and should act fast. With • Class II skeletal relationship
aligners we are almost there. This article highlights a successful • Midline deviation of 1 mm to the right
orthodontic treatment performed using in-house aligners. The case • Potentially competent lips
addresses multiple challenges, including proclination, spacing, a
narrow arch, a Class II skeletal relationship, midline deviation, and Diagnosis
potentially competent lips. The treatment's systematic approach, Initial cephalometric analysis revealed:
combining modern technology and biomechanics, demonstrates the • Skeletal Parameters: SNA at 79.8° (norm: 82°), SNB at 76° (norm:
potential of personalized, precise orthodontic care. 80°), ANB at 3.8° (norm: 2°).
• Dental Parameters: U1-NA (angular) at 39.3° (norm: 22°), U1-NA

Fig 1: Protrusive lower lip Fig 2: Reverse smile arc Fig 3: Potentially competent lips

Fig 4: Lower spacing and proclination Fig 5: Narrow upper arch Fig 6: Class 2 canine and molar relation

28 Dental Practice I November-December 2024 I Vol 20 No 5