We invite you to read the case in which, patient took on the challenge of changing her smile at the age of 40. Her story is an inspiring example of determination and commitment to improving oral health and smile aesthetics.
Initial diagnosis and challenges
The patient presented for an orthodontic consultation due to worn teeth and chronic pain in the right side of the mouth, both upper and lower dental arch, as well as the neck. After dental examination and X-rays, a number of problems were identified: a bone defect, open anterior bite, crowding of the teeth, leaning of the upper incisors, and enamel problems with a tendency towards decalcification and decay. Prior to treatment, intraoral radiographs and a pantomogram were taken to clearly illustrate the patient's clinical situation.






Planned treatment process
1. treatment with a physiotherapist: We decided on muscle deprogramming for the head and whole body, which was the first step in eliminating the problems associated with temporomandibular joint dysfunction.
2. relaxation splint treatment: Before starting orthodontic treatment, we used a relaxation splint to reduce muscle tension and protect the teeth.
3. Removal of teeth: It was necessary to extract teeth: 18, 28, 38, 48 (upper and lower eights) before orthodontic treatment could be undertaken.
4. Orthodontic treatment: We implemented a comprehensive orthodontic treatment plan, including the fitting of fixed braces on the upper and lower arch, quadhelix - internal braces to widen the upper arch - and mini orthodontic implants.
5 After two years and the removal of the appliances, the patient was fitted with permanent retainers to maintain the achieved effect.





6. Prosthetic treatment: After completing orthodontic treatment, the patient was referred for prosthodontic treatment to restore all worn teeth to the correct height.
Summary
The patient's story is an excellent example of a comprehensive approach to orthodontic and prosthodontic treatment that not only transformed her smile, but also improved her oral health. It is an excellent illustration of how commitment to treatment and the collaboration of a team of specialists can produce significant results for a patient.