Appropriate case selection is one of the most important factors in the success of orthodontic treatment with transparent aligners.
The aim of orthodontic treatment is to address the disorder of the relationship between the jaws as well as the tooth alignment disorders in the mouth of our patients.
Although it is realised many times, teeth are not temporary organs; they are organs that should remain in the mouth for life.
For this reason, in order for the teeth to remain in the mouth for a lifetime, the alignment must be correct and the contacts of the teeth with each other, that is, occlusal contacts, must be correct.
What does this mean? The teeth should contact each other regularly during chewing.
If the tooth crowding is categorised;
It is evaluated in three categories as Mild-Moderate-Severe.
Today, with the developing software, orthodontic treatment has become transparent orthodontics and general dentist, but the experience and experience of the physician is also very important in case selection.
In severe cases, some variations such as tooth extraction and even mini screw and tyre applications such as in bracket applications are required.
When assessing the difficulty of the case, it is necessary to formulate a list of the main problems in various dimensions.
* IRREGULARITY IN THE CURRENT POSITION OF THE TEETH
* THE TEETH IS SMOOTH AND THE JAWS ARE INCOMPATIBLE WITH EACH OTHER, SO THE Jaw IS OPEN OR VERY CLOSED (Deep closure and Front open closure)
* INCOMPATIBILITY OF TEETH AND JAWS WITH EACH OTHER
Another criterion for case selection here,
* Growth and development completed
* Growth and development not yet complete
MALOCLUSION.
In cases where there is a disorder in the bite of the teeth with each other, the amount of disorder is very important; a very experienced dentist can also use transparent orthodontic plates as a stage in complex and severe malocclusion treatments.
The patient-physician relationship is also very important in our case selection, because sometimes these treatments can also be done to move our patients’ teeth to the next prosthetic stage, which we call alignment. In other words, if we are going to work on a porcelain lamina without cutting, transparent orthodontics is applied to open the gaps between the teeth or to make the existing gap between the teeth symmetrical before this porcelain lamina application.
Or, if we do not want to see crowded front teeth under a very beautiful porcelain laminate application, transparent orthodontics can be performed to correct this crowding.
All these protect us from post-treatment surprises thanks to digital orthodontics, which gives our patients the chance to show the end of treatment with simulation.
Of course, when choosing a case for transparent orthodontics, we must be convinced that our patient will take good care of his/her mouth.
This is very important, because in transparent orthodontics, we should apply to patients who we are convinced that they will take good care of their mouth and use their aligners regularly.
All treatments are a team work and our patients are one of the most valuable parts of our team.
