Intraoral Scanning Plays Integral Role in Resolving Anterior Spacing

Fig 1. iTero Element 2 scanner full-arch intraoral scan taken at initial visit.

Fig 2. Invisalign ClinCheck showing anterior view before (left) and after (right) Invisalign clear aligner therapy.

Fig 3. Invisalign ClinCheck showing occlusal view before (left) and after (right) Invisalign clear aligner therapy. All mandibular spaces were closed and interproximal reduction was performed between the mandibular anterior teeth to allow further closure of maxillary spaces.

Fig 4. Pre-prosthetic lab wax-up of teeth Nos. 6 through 11 to be used as a template for the restorative treatment. Bioclear restorations utilizing additive dentistry (ie, no tooth structure resected) were treatment planned.

Fig 5. Intraoral anterior view after completion of Invisalign clear aligner therapy and whitening (Invisalign attachments on teeth).

Fig 6. Intraoral photograph of tooth No. 9 after injection overmolding with heated composite using the Bioclear method. Tooth No. 8 was injection overmolded and polished to 80% completion. Bioclear Black Triangle Large Pink matrices are forming an aquarium on tooth No. 9 and a shield on tooth No. 10.

Fig 7. Before (left) and after (right) radiographs of teeth Nos. 9 through 11, highlighting the infinity margins of Bioclear restorations.

Fig 8. Intraoral maxillary anterior view after completion of Bioclear composite restorations on teeth Nos. 6 through 11 and removal of Invisalign attachments by polishing.

Fig 9. TimeLapse technology (occlusal view) on the iTero Element highlights changes in dentition between scans. The scan in the upper right corner was taken prior to Invisalign treatment, while the comparison scan was done after the Bioclear restorations. Hovering over teeth Nos. 8 and 9 allows the patient to see the transformation of the teeth.

Fig 10. TimeLapse technology on the iTero Element highlights changes in dentition between scans. The first scan (right) was Fig 10. TimeLapse on the iTero from the buccal view.

Fig 11 and Fig 12. Extraoral view of patient’s smile before (Fig 11) and after (Fig 12) treatment

Fig 11 and Fig 12. Extraoral view of patient’s smile before (Fig 11) and after (Fig 12) treatment