Orthodontics Continued »
placement of the brackets a simple and straightforward process. The normal Six Month Smiles protocol for placing the brackets using the trays and tying the wires in was followed (Fig 3). After just over six months, the orthodontic element of the treat- ment was complete (Fig 4-5). At the debond appointment, Kelly’s brackets were removed, her teeth were polished, and she had palatal fixed bonded retainers fitted, which again were provided by Six Month Smiles in sectional indirect bonding trays, for ease of placement (Fig 6-7). Kelly was also provided
with removable Vacuum Formed Retainers, which doubled as bleaching trays, allowing her to perform home tooth whitening. To complete the treatment, we carried out edge bonding and shaping of the tips of the
upper incisors, to enhance the final aesthetic result. Following conclusion of the
treatment, Kelly was absolutely delighted with the result (Fig 8). There was a noticeable improve- ment in her smile and, from a hygiene point of view, her teeth are now easier to maintain. Another pleasing aspect of the result is the regeneration of her papilla between the upper central incisors. This is a particular aesthetic benefit of orthodontic treatment over a pure restorative solution in a case like this, as it’s not just about the shape of the teeth but having them in the right position that gives a pleasing cosmetic result – enhancing the pink aesthetic frame for the teeth.
Conclusion One of the great things about the Six Month Smiles system is that it takes a lot of the
complexity out of providing simple fixed orthodontic treatment
ABOUT THE AUTHOR
Dr Andy Denny is joint principal of Twenty 2 Dental, a private cosmetic and implant practice in Weston- super-Mare, UK, where he receives referrals for aesthetic and implant dentistry. He is particularly interested in cosmetic dentistry and multi-disciplinary care, often combining short-term orthodontics and cosmetic treatments, having studied extensively in the USA, Europe and the UK. He is a full
member of the BACD, the BPS, the ITI, the ADI and the AACD.
for patients whose chief complaint is cosmetically focused, and who have already turned down comprehensive orthodontics. It allows us to achieve a fantastic cosmetic result without having to resort to aggressive veneer preps or other restorative procedures. The system is simple and, with the
patient tray kits you are provided with, everything you need for an individual case is in a single box. This includes the wires, ligatures, bonding agents and indirect trays. With treatments such as Six Month Smiles there is now a powerful option for patients who have in the past either had to opt for compre- hensive treatment, or have instead done nothing at all. For general practitioners, it also gives us an appropriate middle ground treat- ment option that is extremely popular with patients and is very satisfying to carry out. The results, I think, speak for themselves.
® For more information visit
www.sixmonthsmiles.com
Scottish Dental magazine 45
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