Page 31 - DP Vol 20 No 5_Neat
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Fig 17: Lips competent               Fig 18: Consonant smile arc          Fig 19: Orthognathic profile achieved
           Fig 13-19: Treatment result























                                                           Fig 21
                                                           Fig 20-21: Post treatment Xrays

                                                             (linear) at 10 mm (norm: 4 mm).
                                                           •  Soft Tissue: Upper lip protrusion at 5.3 mm (norm: 0 mm), lower lip at 4.7
                                                             mm (norm: 0 mm).

                                                           Biomechanics
           Fig 20                                          The mechanics included:
                                                           1.  Miniscrew anchorage to assist distalization.
                                                           2.  Class  II  elastics  to enhance  distalization  while  correcting  the  skeletal
                                                             discrepancy.
                                                           3.  Bite control mechanisms to counteract the deepening effects of these forces.

                                                           PLANNING THROUGH 3SHAPE
                                                           As we all know 3shape orthosystem is the first fully open software which gives all
                                                           controls to the operator. Planning with full control in (3 linear and 3 rotational
                                                           adjustment) all 3 planes of spaces with additional center for rotation provided
                                                           (at will) is a boon. In this case we used orthosystem clear aligner studio and
                                                           appliance designer to design. As 3shape is an open system we had choice to
                                                           print it on any third party printer and use preferred 3rd party pressure former
                                                           and trimline tool. We have full control for teeth movements with most advance
                                                           staging (timeline and way point ) adjustments. In my opinion, currently 3shape
                                                           Orthosytem is one of the best option for in house aligner manufacturers.
                           Access the QR code for the
                           monitoring video of the treatment
                                                              Dental Practice I November-December 2024 I Vol 20 No 5  31
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