Continuation of orthodontic treatment with ceramic ligature braces

Patient Ilya
Date 07.2023

Ilya first visited Polar Bear Dental Clinic in July 2023. He has recently started orthodontic treatment with ceramic braces in his native town. His only complaint before treatment was crowding.

What I’ve noticed in addition to crowding: he has almost normal bite, and orthodontic treatment can only align his rotated incisors. But what we had to take  in consideration before treatment: 

1) teeth excessive attrition (shaved and chipped teeth). This may require restorations after finishing treatment to improve aesthetic outcome. This was what patient gave his consent for.

2) uneven marginal gingival line (it has asymmetrical height on anterior teeth) – this may require gingival correction (rejected by patient).

3)severity of lower crowding may require lots of IPR (interproximal reduction, or teeth shaving on contact surfaces) to gain space for teeth alignment. This manipulation was approved by patient.

So after 8 months of teeth alignment, IPR, detailing teeth position with finishing archwire bends and creating multiple contacts we received acceptable outcome, but it still required restorations to improve teeth shape and color. Restorations were made on upper and lower incisors. So this is the outcome:

Ilya was interested in more complex approach to restorations and was thinking between veneers and direct restorations. For the first time we decided to restore his teeth with aesthetic filling material and later in 1,2 or more years he may decide to switch to veneers.

Doctors who treated

Dr. Ekaterina Kuzheleva
specialist orthodontist;
languages: English, Russian
Dr. Alina Pavlovets
general dentist (endodontics and teeth restoration treatment with microscope);
languages: English, Russian
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