Miss B saw Kostas Spathoulas, our Specialist in orthodontics, who performed a state-of-the-art 3D scan and simulation to show how her teeth could be moved into position. Options included closing the spaces of her missing incisors by moving the back teeth forwards, or reopening the spaces of the missing teeth in order for two dental implants to be placed, which would secure two implant crowns to replace her missing teeth.
Kostas was able to scan and show a simulation of how he could use a series of Invisalign clear, removable aligners to close the gaps between her upper teeth and reduce the crowding in her lower teeth.
Kostas sent his 3D simulation to the Invisalign laboratory to make Miss B’s bespoke Invisalign aligners from a lightweight, strong, thermoplastic material. When these were ready, Miss B returned to see Kostas who showed her how to fit the aligners in place. She took home her set of aligners with instructions on use and care.
Miss B wore each set of Invisalign aligners for a minimum of 22 hours a day for up to two weeks (until they become passive) before moving on to the next in the series. She only removed them when eating, drinking anything other than water and to brush her teeth. As Miss B’s case was complex due to missing teeth and malocclusion, she wore a series of aligners for 2 years to close the gaps and improve her bite. A fixed retainer was then fitted behind her teeth and clear, plastic removable retainers made for night-time use; this was to ensure Miss B’s teeth remain in their newly aligned position and to prevent any future relapse.
Once her teeth were whitened, Cathleen was able to improve the look of her smile by replacing Kostas’ provisional bonding to make her upper canine teeth appear similar to the missing lateral incisors in shape.
She matched the tooth-coloured filling material to Miss B’s whiter teeth, and contoured and shaped her teeth to obtain a better look and symmetry to her smile.