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Orthodontic aligners treatment: Designing Problems

  Design 1 1. Segmentation Problems : The treatment plan exhibited significant segmentation issues. 2. Alignment & Leveling Woes : There were noticeable problems with the alignment and leveling of the upper anterior teeth. This was particularly evident in both the occlusal and submento-vertex views, indicating a need for better planning and execution. 3. Inadequate Arch Shape : The arch shape deviated from the ideal U-shape, which could negatively impact the patient's bite and overall function. This aspect requires immediate attention to ensure proper occlusion. 4. Attachment Issues : The positioning and thickness of attachments were inadequate, particularly on the upper left canine, where the doctor specifically requested no attachment placement. This could lead to ineffective tooth movement and discomfort for the patient. 5. Class III Elastic Mismanagement : The use of Class III elastics on the left side for over three months was a significant oversight. This prolonged applic...

Comparison between 2 designes

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Design 1 Design 2 Xtn 4 x 4s Yes Yes Retraction Enmass 2 step No. of trays 31 41 Buttons - - Slits Upper / lower Upper /lower Att. On L8s - Yes Firing of post. Segment Yes Yes Design 1: Review of Orthodontic Aligner Treatment Plan The orthodontic aligner treatment plan under review presents several critical concerns regarding its design and execution. Below are the key observations and critiques based on the treatment's mechanics and outcomes. 1. Simultaneous and Unsynchronized Movements The treatment plan exhibits **simultaneous and unsynergistic movements**. Specifically, the anterior teeth are moved first, followed by space closure, and then the mesialization of the posterior teeth. This approach neglects the importance of **staging and phases**, leading to a lack of sequential mesialization. The enmasse retraction strategy employed has drastic effects on anchorage, resulting in a **dumping effect** that compromises the overall treatment efficacy. Additionally, the rotations of ...

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